Name:

      First Name   *required
       Last Name   *required

Date:

-- dd/mm/yy

1. I have been learning Spanish since grade...

   Kindergarten
   1
   2
   3
   4
   5
   6
   7
   This is my first year learning Spanish.
   I am a native Spanish speaker.
   
   

2. I like Spanish...

   so much!
   a little
   not much
   not at all!
   
   

3. I am looking forward to learning... (check all that apply)

   grammatical structures
   vocabulary
   culture
   

4. I think I need the most help with...

   reading/translating the language
   speaking/orally reading the language
   freely conversing in Spanish
   grammatical structures
   vocabulary
   
   

5. I am _____ worried about taking Spanish this year.

   incredibly
   kind of
   not really
   not at all
   
   

6. This year I would like my Spanish name to be (this is only a request, not definite):

   Your answer should be a one-word name.