Homestay Evaluation Form Name of Student Name of Homestay Dates Section 1 Please select either Yes or No Yes No Were you happy with your bedroom? If NO please state why below Comment on bedroom Were you made to feel comfortable in your homestay? If NO please state why below Comment on comfortability of homestay Were your sheets and towels changed regularly? Did your host family all sit together for an evening meal? Did you and your host family make conversation during or after the meal? Was the family environment conducive to studying? Section 2 From 5 (excellent), to 1 (poor) 1 2 3 4 5 Was the house and bathroom clean? Were you made to feel one of the family? What was the quality of the food? Additional Notes Please write a few words about your host family. You are welcome to write your comments in Japanese if easier. Verify *Indicates a field you must enter.