PSYCHO-ACTIVATION LINGUISTIC METHOD QUESTIONNAIRE (P.A.L.M.)

Created by Prof. Petr Zivny

Name and surname

Date of birth

Place of birth

Phone number

1. How did you find out about the possibility of learning foreign languages with the Psycho-Activation Linguistic Method (P.A.L.M.)?

2. Which language do you want to treat with the P.A.L.M. method?

3. What is your main motivation for studying the language you have chosen?

4. Do you think that the acquisition of a foreign language is a good economic investment for you?

5. What level of proficiency in the foreign language do you want to achieve? Basic, very good or perfect?

6. Have you tried in the past to study a foreign language in hypnosis under the guidance of a psychotherapist?

7. If you invest time and money in learning, are you able to repeat the linguistic knowledge you have learned on a daily basis with the aim of cementing them in your memory for the future?

8. What is your level of education, what profession have you held in the past and currently?

9. At what age did you start speaking? (Personal or reported memory)

10. How did the conversation take place in your native language, specifically with mother, dad, siblings, grandparents, uncles, etc.? Was there much communication at home? Were they all native speakers?

11. Did your parents actively speak foreign languages? If yes, which ones?

12. Did your parents and other family members normally speak to you in correct language or in the local dialect?

13. Were the television or radio turned on during meals at home?

14. Do you notice or have any errors been pointed out to you in your native language?

15. Have you ever been made fun of for how you spoke your native language?

16. Did you have to see a speech therapist?

17. Did or do you find difficulties in interpersonal communication?

18. What grades did you receive in your native language and possibly in other languages learned at school?

19. At what age did you start studying the second, third language...? What level of knowledge have you achieved?

20. Do you consider yourself an extroverted person who loves social contact, or an introverted, reserved and closed person?

21. Did you learn on your own how to study and prepare for exams?

22. Can you take language exams easily?

23. Do you prefer an oral or written exam?

24. After taking an exam, were you rewarded by anyone? If yes, how?

25. Have you ever dreamed in any foreign language?

26. Do you think studying foreign languages is difficult?

27. Do you think speaking and communicating in foreign languages is difficult?

28. Do you think you have a good memory?

29. During your studies, is it more difficult for you to learn the written or spoken language?

30. Do you have a more logical or photographic memory?

31. Do you have short-term and long-term memory?

32. When you sing, is it in tune? Do you have an ear for music?

33. Has anyone ever told you that you were not good at foreign languages or, on the contrary, were you encouraged to study them?

34. Approximately how many words do you remember in the language you are about to study with the P.A.L.M. method?

35. Do you think you have a good level of perception and concentration?

36. Is it difficult for you to learn the right pronunciation?

37. What type of difficulties did you meet in learning the foreign language?

38. What kind of problems did you find in the study of foreign language?

39. Do you consider yourself a perfectionist?

40. Do you underestimate yourself and/or feel inferior?

41. Do you think you have a strong will?

42. Have you ever had a concussion or hit your head?

43. Do you know another language or a dialect?

44. How many foreign languages have you studied at school or privately? What experience did you have with teachers?

45. How much time can you dedicate to the language of your choice every day?

46. During your day, would you be able to fill your downtime with the language you want to learn?

47. Does your partner know the same foreign language you want to learn using the P.A.L.M. method?

48. Do you like to travel, and which countries do you want to visit?

49. Do you like meeting native speakers to create new interpersonal bonds?

50. Do you drink alcohol or take drugs? If so, how much do they alter your state of consciousness?

51. Are you taking any medications regularly? If yes, which ones?

52. Have you undergone psychotherapeutic treatment in the past?

53. If you have previously studied a foreign language, can you think directly in this language?

54. What grades did you get in your native language and foreign languages during compulsory school and possibly afterwards?

55. Do you think you have a good imagination?

56. Do you think your mind is elastic or rigid?

57. Can you feel interest, enthusiasm and passion for something?

58. Are you able to persevere or do you easily abandon the path when you meet the first difficulties?

59. What kind of pronunciation and vocabulary do you prefer in language of your choice? (For example, German in Switzerland or Austria; Spanish in Latin America or Spain, etc.)

60. Do you notice that you think less quickly than in the past and your mental operations are now slower?

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PSYCHO-ACTIVATION LINGUISTIC METHOD QUESTIONNAIRE (P.A.L.M.)

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