Questo Student Questionnaire deve essere compilato ENTRO IL 31 MARZO dallo studente da solo, serve a The HILSE per 1) capire il livello di inglese del/la studente/ssa, 2) farci scegliere la famiglia ospitante più adatta 3) farvi conoscere dalla famiglia 4) trovare il buddy a scuola (Shadowing).

    Student

    Name

    Student special needs

    Different learning abilities*

    I don't any have different learning abilitiesDyslexiaDyscalculiaADHDOther


    Medical needs*

    I don't have any medical needsMedicinesAssistance for medicationsOther


    Dietary needs*

    I don't have any special dietary needsVegetarianVeganReligiousOther


    Allergies or intolerances*

    I don't have any allergies or intolerancesPetsFoodDustOther


    Are you afraid of pets?*

    YesNo


    T-shirts size*

    Vestibulum euismod enim sed quam pharetra suscipit sit amet quis felis. Sed arcu purus, congue nec diam ut, lobortis commodo nisl.

    XSSMLXL

    Questionnaire

    Parents occupation, please give a brief description*


    Family’s interests, please give a brief description*


    Do you have brothers and/or sisters? Please give ages and a brief description*


    Have you already been in the UK? Where? With the HILSE?*


    Do you like animals? Which is you favourite animal? Have you got any pets? Please write a little about this.*


    What are your favorite subjects at school? Could you tell us why?*


    What is your level of English? Have you completed any official exams? Can you give us the results?*


    Please list your interests/ hobbies and describe*


    Any other useful and relevant information*