1

Advanced 4 ESL
Student Needs Analysis
Name____________________________ Nationality____________________________
CEP ID__________________________
1. What is/are your native language(s)?
2. How many years have you studied English?
3. Have you ever lived in English-speaking countries? If so, for how long?
4. What is your occupation?

4. Please rank your own skills in the following areas. 1=Weak, 2=Below Average,
3=Average, 4=Above Average, 5=Strong
___Grammar
___Vocabulary
___Reading

___Writing
___Speaking
___Listening

5. For the questions below, please choose I agree, I disagree, OR

Sometimes.
Question
I feel comfortable having everyday conversations
in English.
I can understand more than 70% of the English I
hear on the radio/TV and in conversations around
me.
I feel more confident in my listening and reading
skills in English than I do in my writing and
speaking skills.
I do not have enough English vocabulary to do
things that are important to me.
In English class, I enjoy working in groups or
pairs with other people.
In English class, I enjoy learning about grammar
rules.
In English class, I enjoy activities that involve
speaking practice.

I agree

I disagree

Sometimes

6. How often do you have to do the following kinds of tasks/activities in

English?
Not very
often
Participate in formal
discussions (business
meetings, college classes, etc.)
Lead formal discussions (see
above)
Write formal essays
Read long articles

Sometimes

Fairly
often

Frequently

Please circle ALL answers that apply for the questions below (you may
choose more than one).
7. What do you find most difficult about learning English?
A.
B.
C.
D.
E.
F.
G.

Pronunciation
Learning grammar rules
Understanding new vocabulary
Speaking about your ideas and opinions
Understanding native speakers speech
Understanding the main point of readings
Other_____________________________________________

Please answer the question below in your own words.

8. Why are you taking this English course?

9. List 3 specific goals you have for this course.

Example: I want to spend less time planning responses in my head before I speak, so that
I can improve my fluency.
1.
2.
3.
10. Do you have access to a computer with Internet? (Circle one) Yes

No

11. How often do you use a computer/the Internet?

___Every day ___A few times a week ___A few times a month
12. Anything else I should know about you?

Welcome to CEP A4!

___Rarely