NEEDS ANALYSIS INFORMATION TO BE COLLECTED NAME AGE NATIONALITY JOB/STUDIES REASON FOR LEARNING ENGLISH Why are you

u learn n! En!l "h # $G %e rea"on" & e'(r n" ) / n(r n" )* For +h )h o, (he"e a)( % ( e" (o you nee- (o .e a.le (o "/ea0 En!l "h +ell # &Ra- o or T1 /ro!ra22e" n En!l "h &Cour"e le)(ure" )on-u)(e- n En!l "h &Tele/hone )all" n En!l "h & O(her a)( % (y 3/lea"e -e")r .e .elo+4 LANGUAGE LEARNING BAC5GROUND Where an- ho+ lon! ha%e you "(u- e- En!l "h # Ha%e you l %e- / "(u- e- a.roa- # $G %e e'a2/le"* Ha%e you learne- / no( learn( o(her lan!ua!e" # I, ye" / no 6 +a" (ha( e'/er en)e /o" ( %e / ne!a( %e # Why # I, ye" 6 +ha( a//roa)h +a" (a0en .y (he (ea)her # Wa" ( /o" ( %e or ne!a( %e # $G %e e'a2/le"* CONTACT WITH ENGLISH OUTSIDE THE CLASSROOM Do you rea- or +a()h En!l "h "/ea0 n! 2a(er al ou(" -e (he )la""roo2 # $G %e e'a2/le"* NOTES /COMMENTS

Do you ha%e En!l "h "/ea0 n! ,r en-" # I" (h " u"e,ul # I, ye"/no 6 ho+ # Ho+ )oul- you 2/ro%e your En!l "h ou(" -e (he )la""roo2 # ATTITUDE Do you l 0e learn n! En!l "h # I, ye" / no 6 +hy # Wha( lan!ua!e /ro.le2" -o you ,eel you ha%e # $G %e e'a2/le"* Wha( -o you ,eel you ,eel you are "u))e"",ul a( / nee- (o 2/ro%e on # Ho+ 2u)h ( 2e are you "/en- n! "(u-y n! ou(" -e (he )la""roo2 # Do you ,eel (here are any .arr er" (o your learn n! & n" -e / ou(" -e (he )la""roo2 # Wha( -o you , n2o"( - ,, )ul( a.ou( learn n! En!l "h # STRENGTHS / WEA5NESSES IN ENGLISH Gra22ar/ 1o)a.ulary/7ronun) a( on & "(ren!(h"/ +ea0ne""e" # Ho+ +oul- you .e a.le (o "/ea0/+r (e/rea-/ l "(en n/(o En!l "h # Wh )h o, (he"e a)( % ( e" -o you nee(o .e a.le (o -o n En!l "h # &Wr ( n! & Cour"e le)(ure no(e&(a0 n! De")r /( %e an- "(ory& +r ( n! E2a l" an- /er"onal le((er" L "(" an- (a.le" o, +r ((en -a(a Re/or(" O(her 3/lea"e -e")r .e4

&S/ea0 n!& +h )h o, (he"e " (ua( on" n(ere"( you # Ho+ u"e,ul +oul- (hey .e (o you # Jo." an- +or0 Heal(h an- , (ne"" Go n! "ho// n! Your )oun(ry ano(her /eo/le8" )oun(r e"6 )u"(o2" an- )ul(ure Or-er n! an- .uy n! ,oo- an-r n0 U" n! (he (ele/hone Choo" n! hol -ay" De")r . n! ,a2 l e" Ma0 n! /lan" an"o) al arran!e2en(" Rea- n! 2a!a9 ne" an- ne+"/a/er" O(her a)( % (y 3/lea"e -e")r .e 4