ENGLISH FOR ART DESIGN COURSE

LEARNING NEEDS QUESTIONNAIRE

Personal Information
Name : __________________________
School/work : __________________________
Address : ____________________________________
____________________________________
____________________________________
Contact : __________________________

Learning Needs
Tick (v) more than one option if applicable.
1. Why are you learning English?
a. ( ) because it is a compulsory subject
b. ( ) because I am interested in various English cultures
c. ( ) because I need it in order to finish the school
d. ( ) because I will need it in my target career
e. ( ) because I need it to help me in my academic studies
f. ( ) because it is interesting and I enjoy learning it
g. ( ) because it will help me to be a successful graphic designer
h. ( ) because I need it when I travel abroad
i. ( ) because it is easy, therefore I can get good grades and upgrade my score
j. ( ) because I need it for my daily life
k. ( ) because it will make me a prestigious and better educated person
l. ( ) because it will broaden my knowledge and view
m. Other, please specify ___________________________________________
____________________________________________________________

2. Which language do you prefer in order to communicate with your work colleagues in
your target career?
a. ( ) Indonesian
b. ( ) English
c. ( ) English & Indonesian

3. How much do you enjoy studying English at the college/work?

a. ( ) Very enjoyable
b. ( ) Quite enjoyable
c. ( ) Not enjoyable
4. How important do you believe the course is for your target career?
a. ( ) Very important
b. ( ) Quite important
c. ( ) Not important

5. How often do you use English for your daily work/college?

a. ( ) Very often
b. ( ) Quite often
c. ( ) Not at al

6. How difficult do you think learning English is?

a. ( ) Very difficult
b. ( ) Quite difficult
c. ( ) Not at all

7. Please rate each SKILL below. Indicate how important do you think these skills are in
your target career. Please put a tick (V) in the box that best expresses your opinion.
Skills/The Very Quite Not very Not important
importance important important important at all
level

Speaking
Listening
Writing
Reading

8. Please rate each SKILL/AREA below. Rate your current ability in each skill/area and
indicate what skill do you want to improve in the ESP course. Please put a tick (V) in
the box that best expresses your opinion.
Skills/The Excellent Very good Good Not good
importance
level

Speaking
Listening
Writing
Reading
Grammar
General
Vocabulary
Medical
Vocabulary
All the skills
Course Content
Tick (v) more than one option if applicable.
Topic Very important Important Not important
Knowing Partners in
Hospital
Tools in Hospital
Rooms in Hospital
Pain and Symptom
Monitoring Patient