Needs Analysis
Needs Analysis
Level:
Term:
NEEDS ASSESSMENT
I. Personal Information
1. Where are you from (city/country)? ______________________________________________
2. What is your first language? __________________________________________________
3. What other languages do you speak? _____________________________________________
4. How long have you lived in the U.S.? ____________________________________________
5. How long have you been studying English/where?
_____________________________________________________________________________
_____________________________________________________________________________
II. Communication/Skills
1. Please indicate your need for studying the following:
English for social interaction
1=low
1
2
5=high
5
Meetings
Telephoning
Giving Presentations
e-mailing
Social media (Facebook, etc.)
2
2
3
3
4
4
5
5
1
1
Other ________________________________________________________________________
Name:
Level:
Term:
2.
1=not important
5=very important
Listening
Speaking
Writing
Reading
Pronunciation
3. Which aspects of the language do you find more challenging? Circle all that apply.
Listening Speaking Reading Writing Pronunciation Grammar Learning vocabulary
4. How many hours per week are you able to dedicate to English study outside of class?
5. How much of your day do you spend in English (approximate percentage)?
III. Writing: Please, write about yourself in one paragraph or two.
Please, address the following guiding questions in your writing. Also, feel free to include
additional information.
Whats your name? How old are you? Where do you live? What are your hobbies? What do you
like most in New York? What dont you like about New York? What are you learning English
for? What do you want to do in the future?
.................................
...........................................................................................................................................................