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Home Stay Guest Survey
Required Required Question(s)
Required 1.
Please enter the information indicated below.
First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com

Required 2.
Name of Host (First/Last Name):
 

  • 50 character(s) left.
Required 3.
Period of stay (# of weeks):
 

  • 50 character(s) left.
Required 4.
I had a positive home stay experience with my homestay host.
Strongly Agree Agree Neutral Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
Required 5.
I was able to have a good interpersonal connection with my host family.
Strongly Agree Agree Neutral Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
Required 6.
My host family contributed positively to my understanding culture in the United States.
Strongly Agree Agree Neutral Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
Required 7.
I felt comfortable in the common areas of the house.
Strongly Agree Agree Neutral Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
Required 8.
My host family provided me with a comfortable, quiet private room.
Yes No          
         
  • Comment:

  • 500 character(s) left.
Required 9.
My host family included me in their activities.
Always Frequently Rarely Never        
       
  • Comment:

  • 500 character(s) left.
Required 10.
My host family provided food for breakfast and dinner throughout my stay.
Always Frequently Rarely Never        
       
  • Comment:

  • 500 character(s) left.
Required 11.
I was given adequate information about my host family.
Strongly Agree Agree Netural Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
Required 12.
The San Francisco International Program staff were available to me if/when I needed them.
Strongly Agree Agree Netural Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
13.
Please tell us about any difficulties you or homestay host had, and how they were resolved.
 

  • 350 character(s) left.
14.
Do you have any recommendations, suggestions or comments about our home stay program structure and/or components?
 

  • 350 character(s) left.
Required 15.
The events/gatherings organized by San Francisco International Program were a positive experience for me.
Strongly Agree Agree Neutral Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.
16.
What was your favorite experience with your homestay host? Please share any special activities or moments you had with your host.
 

  • 350 character(s) left.
Required 17.
I would recommend this host family to other colleagues.
Strongly Agree Agree Neutral Disagree Strongly Disagree       
      
  • Comment:

  • 500 character(s) left.