Needs Analysis Level Check Interview Form- Past, Present, Future

General Information:
Name:
Job (past, present, future):
Education (past, present, future):
Hobbies (past, present, future):
Foreign travel (past, future):
Motivation for studying English:
Present needs for work, studies or travel:

Future needs for work, studies or travel:

English language exams (past, future)?

Language Learning Experience:
Previous studies and opinions on:

Other languages (past, present, future)?

Other Study of, Practice of and Use of English (in work and free time):
Present:

Previous:

English Language Strengths and Weaknesses:

Strengths:

Weaknesses:

Opinions about Language Learning:

Written by Alex Case for UsingEnglish.com © 2007