L2 Questionnaire - Full Version

Brain, Language, and Computation Lab, Penn State University

L2 Language History Questionnaire (Version 2.0)

Contact Info:

Name:

Email:

Telephone:

Please answer the following questions to the best of your knowledge

PART A

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)

Through formal classroom instruction.
Through interacting with people.
A mixture of both.
Other (specify):

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

PART B

Do you want to fill out PART B?

Yes, continue filling out Part B.

No, skip to Part C (Click Here).

13. Estimate, in terms of percentages, how often you use your native language and other languages per day (in all daily activities combined):

Native language (specify):
Second language (specify):
Other languages (specify):

14. Estimate, in terms of hours per day, how often you are engaged in the following activities with your native and second languages.

Activities	Native Language	Second Language	Other Languages

Listen to Radio/Watching TV	hrs	hrs	hrs
Reading for fun	hrs	hrs	hrs
Reading for work	hrs	hrs	hrs
Reading on the Internet	hrs	hrs	hrs
Writing emails to friends	hrs	hrs	hrs
Writing articles/papers	hrs	hrs	hrs

15. Estimate, in terms of hours per day, how often you speak (or used to speak) your native and second languages with the following people.

	Language	Hours
father	Or Other:	hrs
mother	Or Other:	hrs
grandfather(s)	Or Other:	hrs
grandmother(s)	Or Other:	hrs
brother(s) /Sister(s)	Or Other:	hrs
other family members	Or Other:	hrs

16. Estimate, in terms of hours per day, how often you now speak your native and second languages with the following people.

	Language	Hours
spouse/partner	Or Other:	hrs
friends	Or Other:	hrs
classmates	Or Other:	hrs
co-workers	Or Other:	hrs

17. Write down the name of the languages in which you received instruction in school, for each schooling level:

Primary/Elementary School	Or Other, or Several languages (specify):
Secondary/Middle School	Or Other, or Several languages (specify):
High School	Or Other, or Several languages (specify):
College/University	Or Other, or Several languages (specify):

18. In which languages do you usually:

Count, add, multiply, and do simple arithmetic?	Or Other, or Mixed languages (specify):
Dream?	Or Other, or Mixed languages (specify):
Express anger or affection?	Or Other, or Mixed languages (specify):

19. When you are speaking, do you ever mix words or sentences from the two or more languages you know? (If no, skip to question 21).

Yes No

20. List the languages that you mix and rate the frequency of mixing in normal conversation with the following people.

Languages mixed	Relationship	Frequency of mixing
	Spouse/family members
	Friends
	Co-workers
	Classmates

21. In which language (among your best two languages) do you feel you usually do better?

	At home	At work
Reading	or other	or other
Writing	or other	or other
Speaking	or other	or other
Understanding	or other	or other

22. Among the languages you know, which language is the one that you would prefer to use in these situations?

At home	Or Other (specify):
At work	Or Other (specify):
At a party	Or Other (specify):
In general	Or Other (specify):

23. If you have lived or travelled in other countries for more than three months, please indicate the name(s) of the country or countries, your length of stay, and the language(s) you learned or tried to learn.

Country	Length of Stay	Language of the country

24. If you have taken a standardized test of proficiency for languages other than your native language (e.g., TOEFL or Test of English as a Foreign Language), please indicate the scores you received for each.

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

PART C

Do you have additional questions that you feel are not included above?

Yes, I will fill in the question items and answers below.

No, I am ready to submit my form (Click Here).

Please fill in the question items and answers below:

26.	Your Question:	Your Answer:

27.	Your Question:	Your Answer:

28.	Your Question:	Your Answer:

29.	Your Question:	Your Answer:

30.	Your Question:	Your Answer:

31.	Your Question:	Your Answer:

Other information

To download a paper that describes the above interface in detail, please click here
To download this form in Word Format, please click here