L2 Questionnaire - Short Version

L2 Language History Questionnaire (Short Version 1.0)

Contact Info:

Name:

Email:

Telephone:

Please answer the following questions to the best of your knowledge

1. Age (in years):

2. Sex:

Male Female

3. Education:

4(a). Country of origin:

4(b). Country of Residence:

5. If 4(a) and 4(b) are the same, how long have you lived in a foreign country where your second language is spoken? If 4(a) and 4(b) are different, how long have you been in the country of your current residence? (in years)

6. What is your native language?

7. Do you know a second language? If yes, please specify here.

Yes, and my second language is:

No. (If you answered NO, you need not continue this form)

8. Please specify the age at which you started to learn your second language in any or all of the
following situations:

At home:
In school:
After arriving in the second language speaking country:

9. How did you learn your second language up to this point? (check all that apply)

Mainly through formal classroom instruction

Mainly through interacting with people

A mixture of both

10. List all foreign languages you know in order of most proficient to least proficient. Rate your ability on the following aspects in each language.

Language	Reading proficiency	Writing proficiency	Speaking fluency	Listening ability

11. Provide the age at which you were first exposed to each foreign language in terms of speaking, reading, and writing and the number of years you have spent on learning each language.

Language	Age first exposed to the language			Number of years learning
	Speaking	Reading	Writing

12. Do you have a foreign accent in the languages you speak? If so, please rate the strength of your accent below

Language	Strength of Accent

13. If there is anything else that you feel is interesting or important about your language background or language use, please comment below:

Email of the investigator is:

If you would like to submit your questionnaire results to a researcher who is responsible for the study, please write down his/her email in the above text box, then click the button "Submit and Send an Email"; otherwise, just click the button "Submit".