2015 Summer B

Advanced Studies

Natalie & Megan

Needs Analysis

Please take a few minutes to do the following survey. This is to help us know you
better. This is NOT a test.

I. Personal Information
1. Name
______________________________
2. Preferred Name (The name you want to be called in class):
___________________________
3. Where are you from (city/country)?
_____________________________________________
4. What is your native language?
__________________________________________________
5. What other languages do you speak?
_____________________________________________
6. What is highest education level you have received? Your major?
_________________________________________________________________
7. How long have you lived in the U.S.?
____________________________________________
8. How long have you been studying English/where?
_________________________________________________________________

II. Course-related questions

9. Have ever taken any English writing courses before? If so, what is it/ are they?
_____________________________________________
10. What is/are the main goal(s) for you to learn English?
Get a job/ get a better job
Test(s) preparation (TOEFL, IELTS,GRE)
Academic Needs (your major/program:_______________________)
Business Needs
Daily Life Needs (Shopping, making friends, opening an account in a bank)
Other(s) -please be specific: _____________

2015 Summer B

Advanced Studies

Natalie & Megan

11. What particular aspect(s) are you good at?

Reading
Listening
Speaking
Writing
Pronunciation
Grammar
Other(s) -please be specific: _____________
12. What particular aspect(s) do you want to improve?
Reading
Listening
Speaking
Writing
Pronunciation
Grammar
Other(s) -please be specific: _____________
13. Which of the following do you like best? (Please choose only one option)
Work alone
Pair Work (2 people)
Work in a small group (3-4 people)
Work in a large group (more than 5 people)
14. Do you have a laptop that can be brought to class?
_______________________________
IIIOther Things
15. Do you have Internet access either at work or at home? If yes, do you prefer doing
homework using computer?

16. Approximately how many hours per week are you willing and able to dedicate to this
course outside of the classroom?

17. How much of your day is spent in English (approximate percentage %)?

2015 Summer B

Advanced Studies

18. What do you usually read in English? How often?

19. What is the last book you read for pleasure (in any language)?

20. Is there anymore you want to tell me about yourself?

Natalie & Megan