Comprehensive Personal Data and Lifestyle Questionnaire

Posted on Nov 5, 2025 in English

Personal Data and Lifestyle Questionnaire (Part 1)

Identity, Health, and Housing Status

1. What is your first name? My first name is …………….
2. What is your last name? My last name is ………….
3. Where were you born? I was born in ……….
4. When were you born? I was born on ……….
5. What is your ID number? My ID number is ……………….
6. What is your address? My address is ……………………….
7. What is your home phone number? I don’t have a home phone number.
8. What is your cell phone number? My cell phone number is ……….
9. What language do you speak? I speak Spanish.
10. What other language do you speak? I speak Aymara.
11. Are you Chiquitano? No, I’m not.
12. Do you go to a public hospital? Yes, I do.
13. Do you go to a private hospital? No, I don’t.
14. Last year, were you ill? Yes, I was. I was very ill.
15. Where did you go last holiday? I went to La Paz.

Home Amenities, Employment, and Family Details

16. Do you have water in your house? Yes, I do.
17. Do you have a bathroom in your house? Yes, I do.
18. Do you have electricity in your house? Yes, I do.
19. Do you have Wi-Fi in your house? Yes, I do.
20. Do you have your own house? No, I don’t.
21. Do you have a job? No, I don’t.
22. Do you have a car? No, I don’t.
23. Did you work last week? Yes, I did.
24. What kind of job do you have? I work as a shop assistant.
25. Did you work last year? Yes, I did. I worked as an assistant in an office.
26. Do you live with your parents? Yes, I do. I live with my parents.
27. What is your father’s full name? His full name is …………………….
28. What is your mother’s full name? Her full name is ……………….
29. Where does your father work? My father works as a ……………….
30. Where does your mother work? My mother works as a ………………
31. Do you have sisters? Yes, I do.
32. How old are you? I am nineteen years old.
33. Who do you usually live with? I live with my …………………….
34. Do you have learning difficulties? Yes, I do. I have difficulties in mathematical calculation.
35. What is your mother’s surname? Her surname is ……………….

Academic and Preference Questionnaire (Part 2)

Education, Location, and Personal Preferences

1. What is your full name? My full name is ……………………….
2. How are you? I’m fine, thank you.
3. What do you study? I study to be a secretary.
4. Where do you live? I live in Cercado in Cochabamba.
5. Where are you from? I’m from La Paz, Bolivia.
6. What is your address? My address is Petrolera km 7/5 avenue.
7. How long did you study at Álvarez Plata Institute? I studied for ……………….
8. Where did you study in your school? I studied at San Francisco II school.
9. How much money do you have at this moment? I have twenty Bs.
10. What food do you like? I like peanut soup.
11. What is your favorite color? My favorite color is black.
12. Why do you study to be a secretary? Because I’m interested in administrative work.

Career Choice, Relationships, and Current Activities

13. Why did you choose this career? I chose this career because I’m passionate about it.
14. Who is sitting next to you? My best friend is sitting next to me.
15. How many siblings do you have? I have two siblings.
16. Who is your English teacher? My English teacher is Rosse Mary Fernández.
17. What language do you prefer? I prefer Spanish.
18. How many languages do you speak? I speak two: Aymara and Spanish.
19. What kind of music do you prefer? I prefer pop music.
20. Is your teacher erasing the whiteboard? Yes, she is erasing the whiteboard.
21. Are you single? Yes, I am single.
22. Do you buy your breakfast every day? Yes, I do. I buy my breakfast.
23. Did your father finish school? Yes, he finished school.
24. Did you wash your clothes last weekend? Yes, I washed them.
25. Did your sister study at your institute? No, she didn’t study here.
26. Were you in a supermarket yesterday? Yes, I was there.
27. Was your mother cooking for you at this time yesterday? Yes, she was cooking for me.
28. Are you drinking water at this moment? Yes, I’m drinking water.
29. Are you married? No, I’m not married.