Student Needs Analysis

[Pages:2]Student Needs Assessment

Name: _______________________________ Date: ________________________________ e-mail address: ________________________ Phone: ______________________________ Country of origin: ______________________ Languages spoken: ___________________________________________________________ General Information: __________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________

Current Language Skills:

(0=I can't do this at all, 5=I'm very good at this)

Skill

How good am I?

How often do I do this?

Speaking 0 1 2 3 4 5 Never

Rarely

Listening 0 1 2 3 4 5 Never

Rarely

Writing 0 1 2 3 4 5 Never

Rarely

Reading 0 1 2 3 4 5 Never

Rarely

Sometimes Sometimes Sometimes Sometimes

Often Often Often Often

How do you use your English?

What opportunities do you have to practice your English?

Why do you want to improve your English?

What's the most important reason for improving your English?

Student: _____________________________

How much time do you want to spend in class on each of these English skills? (0=no time, 4=all of my time)

Speaking

0

1

2

3

4

Listening

0

1

2

3

4

Writing

0

1

2

3

4

Reading comprehension

0

1

2

3

4

Grammar

0

1

2

3

4

Vocabulary development

0

1

2

3

4

Pronunciation

0

1

2

3

4

Business communication skills

0

1

2

3

4

(emails, meetings, small talk,

presentations, other)

Other

0

1

2

3

4

Previous English study (when, how long, where, what):

A. What did you like best about your previous study? B. What did you like least? C. What is your favorite way to learn English? What is the most difficult thing for you about English? What is your educational background? What is your profession? What do you do when you are not working? (hobbies, family, personal interests) What else would you like me to know about you? Do you want and/or have time for homework? If so, how much time do you have?

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