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Intercultural Immersive Exchange Questionnaire
The personal data collected in this form will be used by the Language Centre for program review and administrative purposes. The information will be kept strictly confidential and may also be compiled into aggregate form for conducting statistical analysis by the Language Centre. All individual forms collected will be destroyed at the end of this academic year.

Questions marked with a * are required
Name:
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Student No.:
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Please choose an answer for each statement.
Section 1: Intercultural Awareness
Strongly Disagree
Strongly Agree
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1. I am attentive to culturally-based differences in communication styles.
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2. I adapt my behavior when interacting with people from different cultures. 
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3. I am confident in my ability to deal with cross-cultural situations. 
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4. I actively seek out opportunities to learn more about other cultures. 
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5. I am aware of my own cultural biases and try to adjust my perspectives accordingly. 
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6. I enjoy learning languages other than my own to understand cultural nuances better. 
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Section 2: Perceived Language Proficiency
Strongly Disagree
Strongly Agree
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7. I can communicate with speakers of other languages without strain for either party. 
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8. I can understand television programs and films in a foreign language (e.g. English) without too much effort.  
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9. I feel confident in using a foreign language (e.g. English) in professional contexts, such as presentations or negotiations. 
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10. I can express myself accurately in an appropriate style in a foreign language (e.g. English) in writing. 
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11. I can understand and use idiomatic expressions and colloquialisms in a foreign language (e.g. English).
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Section 3: Understanding of SDGs
Strongly Disagree
Strongly Agree
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12. I am aware of the 17 Sustainable Development Goals and clearly understand their objectives. 
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13. I believe that the SDGs are crucial for promoting global sustainability and well-being. 
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14. I can discuss the SDGs and their implications with others effectively. 
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15. I keep informed about the progress and challenges of SDG initiatives locally and globally. 
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16. I am aware of my own city or country’s commitment to achieving the SDGs. 
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17. I am motivated to advocate for changes and policies that support the SDGs. 
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Section 4: Civic Identity
Strongly Disagree
Strongly Agree
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18. I am well-informed about my city and country’s political system and feel confident in my understanding of important political issues. 
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19. I stay updated on current events and consider it important to be informed about the issues in my city and country. 
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20. I am actively involved in groups or organizations (e.g., NGOs and charity work) that aim to bring about social changes and advocate for causes I care about. 
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21. I have a strong sense of belonging to my national community and feel connected to my city or roots’ cultural and social values. 
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22. I am clear about my civic duties and rights and make an effort to fulfill my responsibilities as a citizen. 
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23. I discuss local social and political issues with others regularly to understand different perspectives and to clarify my own views. 
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Section 5: Understanding of Global Citizenship
Strongly Disagree
Strongly Agree
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24. I understand why I am a global citizen who is connected to a worldwide community. 
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25. I value diversity and believe it is important to understand cultures other than my own. 
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26. I make an effort to stay informed about international news, events, and cultures. 
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27. I feel a sense of responsibility to people all around the world, not just in my local community or country. 
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28. I strive to develop skills that enable me to work effectively in a global or intercultural context. 
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29. I understand the interconnectedness of the world's economies, political systems, and environments. 
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Section 6: Whole-Person Development
Strongly Disagree
Strongly Agree
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30. I engage in ongoing self-reflection to better understand my personal values and goals. 
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31. I actively seek out new experiences that challenge my existing skills and abilities. 
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32. I feel a sense of compassion towards myself and readily accept my imperfections. 
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33. I consistently work towards contributing positively to my community. 
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34. I strive for personal growth by setting achievable goals for myself. 
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35. I am open to learning from individuals who have different perspectives and life experiences. 
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