evasys online-survey - Friend Family Program KLU - Application for Students (FS 2016)

About me:

Surname:

First Name

Gender

Nationality

Date of Birth:

Email:

Phone number(s) (optional):

Address (optional):

I am a

Study Program at KLU

Duration of Stay:

Please mention your spoken language(s) with approximate level (beginner, intermediate or advanced).

Do you have any allergies/intolerances?

Please tell us why you would like to participate in the 'Friend Family Program'? What are you looking forward?

What are your main interests, hobbies or activities? Tell us a bit about you.

What kind of activities would you like to undertake with 'your' family? Multiple choices are possible / desireable.

Conversation/Talking to improve your German skills.

Family activities

Familiarizing with the local culture (traditions, local culture, sights, regional food etc.)

Cultural activities

Cooking

Sightseeing

Other (please kindly specify at the end of this survey)

Do you have a special interest in a culture or a language?
Please keep in mind that we may not be able to accomodate all your preferences.

Do you have any preferences / exclusion criteria in terms of age, origin, political mindset or religion? Please specify.

Would you prefer a special type of family structure? Multiple choice is possible / preferable.

No preference

Single person female

Single person male

Person indifferent

Couples without children

Couples with children (student age)

Couples with younger children

Other. Please specify at the end of this survey.

How often would you like to meet 'your' family?

Once a week

Every two weeks

Once a month

Other time interval. Please specify at the end of this survey.

Anything else you would like to know us?