Needs Assessment Questionnaire

In order to be successful in running the program of English for Job Hunting please fill the
questionnaire honestly. Your information will be very useful for course design that will suit your
needs that may contribute for your success in joining the program and in your future career.

General information

1. Name : ____________________________________________________________________
2. Address : ____________________________________________________________
3. Purpose of taking the course : ____________________________________________________
_____________________________________________________________________________
4. Course setting preferences. Please put a circle on the letter a, b, c, d, or e.
a. In the classroom
b. Outdoor activities
c. Site visit
d. School places
e. Online learning via zoom
_________________________________________________________________________
5. Your future goal of learning English:for job hunting
_______________________________________________
_______________________________________________________________________________

English language studies

1. Have you ever taken any English course before? If yes, what is the course?, How long time
do you take the course? What level do you finish the course? _________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
2. Which language skills do you want to improve? Please put a circle on the letter a, b, c, d, or e
a. Speaking
b. Reading
c. Writing

3. Choose the following topics that are suitable with your needs. You can choose as
many as you like.
a. Identify individual skills and pour in
 the application.
b. Identify the personal nature and
inclusion in the application
c. Writing a cover letter
d. Writing Curriculum Vitae
e. Application letter forms
f. Job Interview Techniques

4. Choose the grammatical topics. Choose as you need to learn (list as many as you
want)
Grammatical topics Tick Grammatical topics Tick
Past Tense Present Tense
Future Tense Tense
Verb Adverb
Noun Pronoun
Adjective Sentence

a. (list as many as you want)__________________________________________________

5. Choose the learning media you like to use (you can list as many as you like)
a. Website
b. Internet
c. Software (Google , Youtube , Zoom)
d. eLearning

6. Choose learning materials you want (you can list as many as you like)
Speaking skills (you can choose and tick as many as you like)
Speaking topics Tick Speaking topics Tick
a) work experience. b) c) Environment
d) dream job e) f) plans for the future
g) Family life h) i) Introduction
j) hobbies. k) l) Future
m) Job Interview n) o)

Reading skills (you can choose and list as many as you like)
Journal article
Magazines
Newspaper
Encyclopedia
Dictinories
 Books
Catalogs

List your own:

___________________________________________________________________________
___________________________________________________________________________

Writing skills (you can choose and list as many as you like)
a. Application Latters.
b. Curriculum Vitae .
c. Email letter.
d. Professional Latter.
e. Biography.

________________________________________________________________________
________________________________________________________________________
7. Teaching methods (you can choose and tick as many as you like)

Teaching methods Tick Teaching methods Tick

(1) Small Group Discussion; (11). Flipped Classrooms

(2) Role-Play & Simulation; (12). Kinesthetic Learning

(3) Self-Directed Learning (13). Differentiated Instruction

(SDL);

(6) Cooperative Learning (CL); (14) Inquiry-based Learning

(7) Collaborative Learning (CbL); (15) Expeditionary Learning

(8) Contextual Instruction (CI); (16) Personalized Learning

(9) Project Based Learning (17) Game-based Learning

(PjBL); dan

(10) Problem Based Learning and

Inquiry (PBL).

List your own:

___________________________________________________________________________
___________________________________________________________________________