Needs Analysis

Intermediate 2
Name: ___________________

Program:_________________

Nationality: _______________

First Language:____________

Age group (optional): under 18

18-25

25-35

35-50

over 50

1. How long have you been learning English?

2. Are you in school? If yes, where do you go to school?
3. Did you work in your home country? If yes, what was your job?
4. What do you think you can do well in English?
Reading
Writing
Speaking

Grammar

Listening
other_______

5. What do you want to work on the most?

improve your speaking

improve your writing

improve your reading

improve your grammar

practice pronunciation

improve your listening

6. If you said you want to work on your grammar, what do you mean specifically?
verb tense

learn more vocabulary

work on word order (example: where prepositions and articles go)

work on fluency (speaking faster, learning to edit your writing)
work on pronunciation

other: _______________________

7. Do you use English in these situations?

Social situations
Meetings and discussions
Telephone calls
Formal writing (essays, reports)
E-mails
Other: ____________________

8. What activities help you the most?

Conversation
writing in journals
Grammar exercises
reviewing vocabulary
Games and songs
Reading
9. Do you have easy access to a computer?

Yes

No

10. How much time can you devote to homework?

30 minutes
an hour
2-3 hours
11. Tell us about yourself! Please briefly introduce yourself! What do you do for fun? What else
do you want us to know about you?