1 W. 34th Street, Suite 702, New York, NY 10001

Tel : 212 564-5979 Emergency Tel: 732-278-1189 Fax: 212-564-0475

Homestay Evaluations

Date: ___________

First Name ________________________

Surname ________________________

Date From: ____________ Until: _____________

Name of Homestay: __________________________________________

Address of Homestay: ___________________________________________

YES NO

1. Did you receive a friendly welcome from your Homestay? 2. Was your room comfortable? 3. Was your room warm enough? 4. Was there a desk/table in your room? 5. Was there a chair in your room? 6. Was there enough space to store your personal belongings? 7. Was the family overall welcoming and friendly? 8. Were you allowed to take a shower / bath every day? 9. Did your host shown you where there were laundry facilities? 10. Was there enough food provided at meal times if meals ordered? 11. How was the quality of the food served? 12. Has your host given you specific times for your meals? 13. Were you allowed to use the lounge to watch TV? 14. Were you invited to eat dinner with the family? 15. Did the host instructyou on the Transit System (the Metro)? 16. Did the host explain to you the family’s rules? 17. Are you satisfied with the overall cleanliness of the home? 18. Were you able to access the internet in your home? 19. Would you want to stay with this family again? 20. Would you recommend that a friend or family member of yours stay there?

Please give us any other information regarding your homestay that you think would be relevant: