Community Language Program

Teachers College, Columbia University

Level: I6
Spring 2015
Instructor: Yun (Kerry) Pan, Xinzhou (Joanna) Hu, Yan (Maggie) Luo

Needs Analysis
Please answer the following questions.
Personal Details
Name:
Preferred name/Nickname:
Nationality:
First Language:
Email:
Phone:
Language Background
1. How many years have you learned English?
2. What other languages do you speak?
3. Why are you studying English? (Check all that apply.)
Daily communication

Academic needs

Business/ job purposes

Interest and enjoyment

Other (Please specify):

4. Please check () the importance of the following skills to you.
Skills

Very
important
5

Important
4

Less
important
3

Not
important
2

I dont
know
1

Speaking
Listening
Reading
Writing
Pronunciatio
n
Grammar

5. Please check () the description that best matches your current ability of the following:
Skills
Speaking
Listening

Very
strong
5

Strong
4

Average
3

Weak
2

Very weak
1

Community Language Program

Teachers College, Columbia University
Level: I6
Spring 2015
Instructor: Yun (Kerry) Pan, Xinzhou (Joanna) Hu, Yan (Maggie) Luo

Reading
Writing
Pronunciatio
n
Grammar
Learning Style
6. What ways help you learn English? (Check all that apply.)
Watching movies/dramas
Listening to songs

Watching on-line speeches/lectures

Reading books/newspapers

Writing essays/diary

Playing games

Speaking with people

Doing grammar exercises

Other (Please specify):

Others
7. Will you be able to use the following devices for learning English?
(Check all that apply.)
Smartphones

Computers

Tablets

8. How many hours do you spend on learning English outside the classroom every week?
less than 2 hours 3-5 hours
6-10 hours

more than 10 hours

9. What else would you like me to know about?

Thank you for completing this

survey.