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Student HomeStay Report
Please complete the report by the 5th day of each month.
Name of Host Family
*
Report Date
*
Does the student respect for others/property/privacy?
*
Excellent
Good
Average
Dissatisfied
Is it a pleasure to host this student?
*
Excellent
Good
Average
Dissatisfied
Does the student follow the house rules?
*
Excellent
Good
Average
Dissatisfied
Does the student understand and use English at home?
*
Excellent
Good
Average
Dissatisfied
Does the student have a healthy life style and do exercise regularly?
*
Excellent
Good
Average
Dissatisfied
Email of Host Family
*
Student Name
*
Is the student adjusting to the new culture and feeling comfortable?
*
Excellent
Good
Average
Dissatisfied
Does the student clean his/her room regularly?
*
Excellent
Good
Average
Dissatisfied
Does the student participate in host family activities regularly?
*
Excellent
Good
Average
Dissatisfied
Is the student spending habits a concern?
*
Excellent
Good
Average
Dissatisfied
Does the student get proper rest?
*
Excellent
Good
Average
Dissatisfied
How does the student feel about meals, transportation, and living environment?
*
As you look back on your hosting experience, what will you remember most fondly about your student?
*
What was the best thing that has happened in the host family this month?
*
Any comments, questions or suggestions?
*
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