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Community Language Program (CLP)

Teachers College, Columbia University
Student Profile & Needs Assessment - Spring 2016

Language: English
Level: Advanced 2 (A2)
Teacher: Joey Cheng-Hsun Hsu

I.

Personal Information

Name:

Preferred name:

Student ID No.

Email:

Mobile phone No.

Job:

Personalities:
Hobbies:

II.

Language and Education Background

What is your native language?

How long have you studied English?

How long have you lived in the U.S.?

What other languages do you use?

How long was your college/university study?

What was your major?

Have you taken any English proficiency tests?

If yes, what were they and what were the results?

III.

Self-assessment of English Language Skills

Directions: Please check in the column that best reflects your level of the corresponding skill.
1 = Very limited

2 = limited

Skills

Level

3 = Average

4 = Strong

5 = Very strong

Listening
Speaking
Reading
Writing
Vocabulary
Grammar
Total points: _______
IV.

Preferences of Learning Approaches

Directions: Please check in the column that best reflects your preference of the corresponding
learning approach.
1 = Hate

App.

Pref.

Individual work

Pair work
Group work
Presentation
Public speaking

2 = Dislike

3 = No preference

4 = Like

5 = Love

V.

Language Learning Background

1. What is your purpose of studying English?

2. Are you motivated in studying English? Please explain why.

3. In what ways do you find studying English most intriguing and effective?

4. What topics of lessons interest you in studying English?

5. In what ways did you study English before? Please briefly share your learning
experience.

6. What are the biggest challenges for you in studying English?

VI.

Expectations of the Course

1. What is your purpose of taking this course? Please be specific.

2. What goals do you expect to achieve after this course?