Student questionnaire Name: Surname: Genre: Boy Nationality: Date of birth: Place of birth: Address: Mobil phone: E-mail: School: Specialization:
Girl
Telephone: Course:
Father’s name: Occupation: Mother’s name: Occupation: Brothers and sisters: Preference: Boy Allergies: Phobias: Diseases: Animals: Smoker: No Yes Religion: Hobbies: Sports: Favorite dishes: Languages: German/Spanish
Telephone: Telephone:
Girl
English
Indiferente
French
Others
Speaking Writting Reading H=High
Reasons to participate:
Observations:
Short personal description:
M= Medium L=Low