CEP I2 Needs Analysis

What is your name? ____________________________________

Where are you from? ___________________________________

What is your native language? _____________________________

Do you speak any other language? If so, what languages?______________________

How long have you been in the US? (years? months?) ____________

What are your long term plans?
I will go back to live in my country
I will live in another country
I live here permanently
Some time in the US and some time in another country
Not Sure

How long have you been learning English? ______________________

How many courses have you taken at the Community Language Program (CLP) at Columbia?
0 months (first course) 1 course 2 courses 3 or more courses

What is your education background? Check all that apply and please provide your major/field of study.
High School ____________________
University (undergraduate) ____________________
Graduate school ____________________
Professional school (I.e., law school, medical school) ____________________

Do you watch English TV/Movies?
Yes Sometimes No

Do you read English books/magazines/newspapers?
Yes Sometimes No

Outside of class, where do you have the chance to speak and write in English? (at school, work, home, etc.)
________________________________________________________________

What are your goals in studying English? Circle all that apply.
Get a job Get a better job Improve speaking Improve writing
Get more education Improve pronunciation Improve grammar
Learn English for fun Other ____________________

CEP I2 Needs Analysis
What do you think you are good at in English? Circle all that apply.
Reading Writing Listening Speaking
Grammar Vocabulary Other ____________________

What is difficult for you in learning English? ____________________________

In our class, how important is it to focus on the following skills?
Not Important Neutral Important Very Important
Reading
Writing
Listening
Speaking
Grammar
Vocabulary
Other

Is there anything specifically you want to focus on learning in this class?
__________________________________________________________

How do you prefer to work?
Alone In groups

Which activities are most helpful to your English learning? Circle all that apply.
Conversation listening to tapes writing pair/group work Games
pronunciation drills grammar practice reading Songs other ___________

Is there any activity above that you do not like to use for English learning? Which?
___________________________________________________________________

Do you feel comfortable using a computer?
Yes Somewhat No

Do you have easy access to Internet?
Yes No

Do you feel comfortable communicating via email?
Yes Somewhat No

Do you own a smart phone (a cell phone with Internet access)?
Yes No

Do you have any other comments? Is there anything else you would like me to know?
_____________________________________________________________________