Needs Analysis for A2 (AM) Summer A

Name: ___________________________________
1. When did you come to the United States?
________________________________________________
2. What is your native language?
_________________________________________________
3. Do you know any other languages? If yes, what are they?
_________________________________________________________________
4. Have you learned English before? If yes, where and for how long?
_______________________________________________________________________
5. Please list below the places (country or city) where you attended school:
Secondary School (high school): __________________________
College or University: ________________________________
Graduate School: ___________________________________
6. Did you work in your home country? If yes, what was your occupation?
_______________________________________________________________________
7. Are you currently employed? If yes, what is your job and where do you work?
_______________________________________________________________________
8. Your goals are to:
get a job
improve your speaking
improve your pronunciation
learn more about American culture
improve your reading

get a better job

improve your writing
improve your
get more education
other ________________

9. Which English skills are you most comfortable with?

Reading
Writing
Speaking
Grammar

Listening
other __________

10. What is difficult for you in learning English?

______________________________________________________
11. Which activities are most helpful to your English learning?
conversation
listening to tapes/cd-roms
writing
field trips
pair/group work
reading
games
pronunciation drills
other ______
songs
practice with idioms and/or phrasal verbs
12. Do you like working alone or in groups?
_______________________________________________
13. Where do you want to speak better English?
at work
at the doctors
on the bus/train
on the telephone
with friends
with neighbors

at your childrens school

in stores
other ________

14. Do you want to improve your reading/writing in English for?

checks
maps/directions
bills
forms
ads in newspapers
job applications
catalogs
work notices
academic purposes
your childrens report cards/school notes
other _________
15. Do you have access to a computer/internet at home?
_______________________________________________
16. Can you use the computer/internet to do homework?
______________________________________________
17. Are you comfortable with using technology in the class?
___________________________________________
18. Is there anything you would like us to know about you?
_______________________________________________________________________