anxiety towards English as second language. Please answer all questions in the questionnaire. The
information given will be strictly confidential and only be used for research purposes only. Thank you for your
cooperation.
Section A: Background Information
Please fill in the blanks with the appropriate answers. Please tick (/) in the box for the answer you
have chosen.
1. Name:____________________________________________________________
2. Gender:
Male
Female
3. Age: ______________
4. Residence:
Urban
Rural
10
11
It embarrasses me to volunteer to
go out first to speak English.
12
Strongly
Agree
(5)
Agree
Undecided
Disagree
(4)
(3)
(2)
Strongly
Disagree
(1)
14
15
16
17
18. Do you think your speaking anxiety has become worse compared to last year? If you answer yes, please
answer question number 19.
Yes
No
19. If so, why do you think your speaking anxiety has worsen? Please specify or give a reason.
_________________________________________________________________________________________
_________________________________________________________________________________________