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| Family surname |
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| Name of the American student |
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| On a scale of 1 to 10, how polite was the student, while living with your family? |
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1
2
3
4
5
6
7
8
9
10
|
| Did the student respect the agreed times for coming home? |
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YES
NO
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| On a scale of 1 to 10, how much was the student involved with your family life? |
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1
2
3
4
5
6
7
8
9
10
|
| Did you involve her in light housework e.g. setting the table and clearing the table? |
|
YES
NO
|
| If so, on a scale of 1 to 10 how much did she participate? |
|
1
2
3
4
5
6
7
8
9
10
|
| On a scale of 1 to 10 howtidy was her room? |
|
1
2
3
4
5
6
7
8
9
10
|
| On a scale of 1 to 10 how muchdid she express her appreciation about your hospitality? |
|
1
2
3
4
5
6
7
8
9
10
|
| Were there any particular difficulties? |
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YES
NO
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| If so, which? |
|
|
| On a scale of 1 to 10, how difficult has it been to communicate with the student?
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1
2
3
4
5
6
7
8
9
10
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| On a scale of 1 to 10, in your opinion, how happy was the student with your family? |
|
1
2
3
4
5
6
7
8
9
10
|
| Has the student already contacted you since she left Italy? |
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YES
NO
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| In general, on a scale of 1 to 10, how satisfied are you with this experience? |
|
1
2
3
4
5
6
7
8
9
10
|
| What do you advise us to change or improve? |
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|
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