What country do you live in?:
What city do you live in?:
What school do you go to?:
Do you speak Polish? (yes, no):
Do you speak Polish at home? (yes, no):
Which country were you born in?:
Which country were your parents born in?:
Which country were your grandparents born in?:
When you hear "Poland" or "Polish" describe in few words what kind of association you have in your mind....
Do you know the names of any Polish meals?:
If yes, what are they?:
Can you write in Polish? (yes, no):
Can you read Polish? (yes, no):
In your home, do you have any Polish souvenirs? (yes, no):
In which way do you or your parents keep in touch with the Polish language and culture? (correspondence, newspapers, TV, radio, telephone, videos):
Have you ever been in Poland? (yes, no):
If yes, what impressed you the most?:
E-mail: