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1. Student information data
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Number of study years prior to study abroad
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2. Study exchange programme you participated
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3. Study period and motivation
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Dates of study period/duration abroad (from - to)
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Do you consider the study period has been
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Factors that motivated you to study abroad
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Was the teaching in host university in national country’s language?
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4. Information and support
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How did you get information on study programme / general information about host institution?
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How useful was this information?
X 1 2 3 4 5
None Poor Excelent
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On your arrival at the host institution, you were offered
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Were any other special events organised for mobility students in host institution during your stay?
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Did you receive support for your mobility study period?
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How do you evaluate the adequacy of support?
X 1 2 3 4 5
None Poor Excelent
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How do you consider your integration with local students in the host institution?
X 1 2 3 4 5
None Poor Excelent
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5. Accommodation and infrastructure
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Type of accommodation at host institution
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How did you find your accommodation?
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Access to libraries, study materials
X 1 2 3 4 5
None Poor Excelent
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Access to PC and e-mail in host institution
X 1 2 3 4 5
None Poor Excelent
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6. Academic recognition
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Was you provided with a learning agreement prior to the commencement of your study period?
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Will you gain academic recognition for your study period abroad?
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Will you get credits for completing language courses ?
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7. Linguistic preparation (language of instruction in host institution)
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Was the language preparation provided before and/or during placement?
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Who was responsible for the language course(s)?
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Weeks of language training (total number of weeks)
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Weeks of language training (hours per week)
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How would you rate your competency in language knowledge of your host country? (before study period)
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How would you rate your competency in language knowledge of your host country? (after study period)
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8. Costs
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Your costs during study period (average per month)
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To what extent did the grant cover your needs?
X 1 2 3 4 5
None not at all fully
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When did you receive your grant (how many instalments)?
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Did you have other sources of funding?
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Amount other sources in total per month
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How much more did you spend abroad compared to what you normally spend in home country?
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Did you have to pay any kind of fees in host institution?
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If yes, please state the type and amount paid
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9. Your personal experience – evaluation of study period
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Rating of academic outcome of placement
X 1 2 3 4 5
None Poor Excelent
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Rating of personal outcome of placement
X 1 2 3 4 5
None Poor Excelent
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Did you encounter any serious problems during placement abroad?
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Which aspects of the placement did you particularly appreciate?
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Are you more likely to consider working in other country at the end of your course because of your mobility experience?
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Do you think the placement will help in your career?
X 1 2 3 4 5
None not at all fully
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Overall evaluation of placement
X 1 2 3 4 5
None Poor Excelent
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Recommendations to other students concerning information, application procedures etc.
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How do you feel the mobility programme scheme might be improved?
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