NEEDS ANALYSIS QUESTIONNAIRE

PART 1: OBJECTIVE

We request your completion of this questionnaire to help us learn more about your learning needs and
preferences. The information you and others provide will assist us in developing a Needs Analysis Report.
Your answers will be tabulated with those of others and will be handled in the strictest confidence.

Thank you for your time and assistance.

PART 2: LEARNER’S PROFILE

Please put a check (/) to fill in each item.

Name: (optional) _____________________________________
Gender: _______ female _________ male
Age group: ________ under 18 _______ 18-25 _______ 26-35 _________36-55 ________over 65 _____

PART 3: ASSESSMENT
A. Please check the answer which do you think the MOST IMPORTANT for you as a student.
Choose only one.
1. Why is the English language needed in the course?
______a. For exam, academic writing and research purposes
______b. For questions, explanation and justification purposes
______c. For future work

2. With whom do the respondents use the language?

_____a. to your English-speaking friends.
_____b. to your professors, colleagues who prefer to speak in English
_____c. to a salesman who speaks in English for any deals

3. How do the respondents learn English in their course?

_____a. Through discussions/lectures, group/individual written and oral
presentations.
_____b. Through role plays
_____c. Through real life situations

4. What resources are available to the respondents in learning English in their course?
_____a. Bilingual/monolingual dictionaries
_____b. Internet sources, audio-visual materials
_____c. Books, newspapers, magazines, journals, business materials, company
documents.
B. Please rate the following items by putting a check (/) in the box.
Do you need to use English when:
Language Skills
3 2 1
Very Important Not Very
Important Important
Speaking Communicative Events:
Questioning to identify their needs
Making and receiving telephone calls
Speaking to customers
Dealing with clients objections
Communicating with colleagues and superiors
Reading Communicative events:
Reading business letters (letters of inquiry, bank,
letters soliciting information, letters from head
office to branches)
Reading reports (sales report, budget reports,
audit reports, monthly reports)
Reading work manuals
Reading memos
Reading references material for professional
exam
Writing Communicative events:
Filling in forms
Writing brochures/letters
Writing effective proposals
Writing faxes/complaint letters
Taking notes/messages
Listening Communicative Events:
Telephone messages
Oral instructions
Handling enquiries
Understanding lectures at seminars and training
programs
* Needs Analysis Questionnaire adapted from http://onedomark.tripod.com/dsa.htm