Linguaviva Course Questionnaire Survey

Name

Nationality

Phone - please include International Prefix
Example +353 1 6789384

	Excellent	Very Good	Good	Average	Poor	N/A
House	House Excellent	House Very Good	House Good	House Average	House Poor	House N/A
Your Room	Your Room Excellent	Your Room Very Good	Your Room Good	Your Room Average	Your Room Poor	Your Room N/A
Food	Food Excellent	Food Very Good	Food Good	Food Average	Food Poor	Food N/A
Friendliness / Availability to talk	Friendliness / Availability to talk Excellent	Friendliness / Availability to talk Very Good	Friendliness / Availability to talk Good	Friendliness / Availability to talk Average	Friendliness / Availability to talk Poor	Friendliness / Availability to talk N/A

Any other comments?

Any other comments?

	Excellent	Very Good	Good	Average	Poor	N/A
Service	Service Excellent	Service Very Good	Service Good	Service Average	Service Poor	Service N/A
Problem Solving	Problem Solving Excellent	Problem Solving Very Good	Problem Solving Good	Problem Solving Average	Problem Solving Poor	Problem Solving N/A
Friendliness	Friendliness Excellent	Friendliness Very Good	Friendliness Good	Friendliness Average	Friendliness Poor	Friendliness N/A
Activity Programme	Activity Programme Excellent	Activity Programme Very Good	Activity Programme Good	Activity Programme Average	Activity Programme Poor	Activity Programme N/A

Any other comments?

Excellent

Very Good

Good

Average

Poor

Any other comments?

In the middle of your course

Finished your course

Other

Online Search Engine

Through a friend of family member

Agency - please specify below:

Other - please specify below:

Please specify:

Yes