Needs Analysis

Instructor: Katie Griswold

Getting to Know You

Welcome to the CEPs A5B English Language Course! I am very excited for the semester, and I believe we
are going to discuss some really important topics. However, I want to teach you things that you want to
learn, and I want to be able to do that in the best way possible. Please fill out the following form so that I
have a better understanding of how to best further your English Language learning!
Name: ________________________________ Occupation: ____________________________________
Native language: ______________________ Highest level of education: __________________________
Other languages spoken: ________________________________________________________________
Number of years studying English: ________________ Number of years lived in the U.S.: _____________
Email address: _________________________________________________________________________
1. Please circle the words that best describe what you think about each skill:
SPEAKING ENGLISH FLUENTLY is
PRONUNCIATION is
LISTENING TO NATIVE SPEAKERS is
READING ENGLISH is
WRITING IN ENGLISH is

most important
most important
most important
most important
most important

very important
very important
very important
very important
very important

important
important
important
important
important

not important
not important
not important
not important
not important

2. Self-Assessment of English Language Skills. For each area listed below, place a check mark in the
column that best describes your skill level.
1 = Very Weak

2 = Weak

3 = Average
1

4 = Strong
3

5 = Very Strong
4

Reading
Writing
Listening
Speaking
Grammar
Vocabulary
Pronunciation
3. What areas do you want to focus on? Please explain (from the table above).

4. What areas do you need to review? Please be specific.

Needs Analysis

Instructor: Katie Griswold

5. What kinds of things do you want to in English? Check yes or no.

Yes

No

Watch movies or TV
Read newspapers or magazines
Read websites
Read books or novels
Listen to the radio
Speak with people in stores/shops
Use English at work
Use English with family
Write papers for classes/school
Other:

6. Do you own or have access to any of the following? (check all that apply)
Computer Laptop Smartphone Tablet (iPad) Internet
7. How often do you access the Internet?
Never Less than 1 hour/week 1-2 hours/week 2-3 hours/week >3 hours/week
8. What topics interest you? (Check all that apply)
American culture Social networking (i.e. Facebook) Global issues Business
Technology Travel Cooking/food Fashion Sports Movies
Other:__________________
9. How many hours can you devote outside of class for homework and using English?
<1 hour/week 1-2 hours/week 2-3 hours/week >3 hours/week

10. Why are you studying English?

11. What brings you to New York City?

12. Any questions for me?

13. Anything else you want me to know about you?

Needs Analysis

Instructor: Katie Griswold

14. Please describe the best experience you have had in New York City in one paragraph. Please be
as thorough as possible!