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Homestay Evaluation Form
To be completed by Host Family - Private & Confidential
About You
First Name
Last Name
Your Host ID (Please contact
homestay@tru.ca
if you are unsure of your ID)
Student Name
My Evaluation
1. We received some information about our student before he/she moved in with us.
Was that information was helpful?
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
What other information would you like to have received?
2. Our hosting experience was generally pleasant
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
3. Our student was polite and respectful
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
4.We communicated well with our student.
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
5.Our student often asked us questions about English language and Canadian culture.
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
6.Our student seemed to be comfortable and happy in our home
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
7.Our student interacted well with our family members.
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
8.Our student paid rent on time.
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
9.We often did things together with our student: Eating meals
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
10.We often did things together with our student: Shopping
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
11.We often did things together with our student: Sightseeing
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
12.We often did things together with our student: Watching TV
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
13.We often did things together with our student: Hiking
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
14.We often did things together with our student: Helping around the house
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
15.Our student enjoyed the food we provided.
Please select...
1-strongly disagree/very bad/never
2-disagree/bad/sometimes
3-it is okay/so-so
4-agree/quite good/often
5-strongly agree/very good/all the time
How long did your student stay with you?
From
To:
17.Would you like to host another student?
Please select...
Yes
No
18.Other Comments
Contact Information