NEEDS ANALYSIS QUESTIONNARIE
1 ____________________
Name _________________________________ Age________________________________
Married or single________________________ Male / female_______________________
Nationality _____________________________ Country of residence__________________
First language __________________________ Hobbies ____________________________
Other languages spoken or studied ___________________________________________________
Occupation or, if student, what are you studying? _______________________________________
2 ____________________
What level do you think your English is? (underline the appropriate level)
Elementary / Pre-intermediate / Intermediate / Upper-intermediate / Advanced
Do you use English in your job? _____________
If yes, is it mainly written or spoken or both? Give details, eg emails, speaking on the phone etc.
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Do you use English outside your work? __________
If yes, in what situations (travel, watching TV, restaurants etc.)?
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What English resources do you have at home (internet, magazines, TV etc.)?
________________________________________________________________________________
Have you ever travelled to any English speaking countries? _______________
If yes, which? _____________________________________________________________________
3 ____________________
Have you studied English before? ______________ Where? ____________________________
When did you last study? _____________________ For how long? _______________________
Were your teachers native speakers? ____________ Where from? ________________________
Were your previous teachers good? ___________ Why / why not? _____________________
What English did you study (General, Business, for work, at school etc.)? ____________________
Which coursebooks did you use? ____________________________________________________
What did you study most? (underline 1 or 2 items only from the list below)
Grammar / speaking / reading / listening / vocabulary / pronunciation / writing
Why did you study English? _________________________________________________________
Did you enjoy your studies? _________ __ Why / why not? ___________________________
What level did you get to? ____________ Did you pass any exams? ____________________
Which? ___________________________
4 ____________________
Why are you studying? _____________________________________________________________
Put the following in order from the most important (1) to the least important (4)
Reading ______ Writing ______ Listening _______ Speaking ______
In class do you like to … (circle the answer. 1 means you like it a lot and 4 means you like it the
least)
Study grammar 1 2 3 4
Study vocabulary 1 2 3 4
Discuss news stories 1 2 3 4
Do listenings from recordings 1 2 3 4
Do grammar homework 1 2 3 4
Do other homework (internet research etc.) 1 2 3 4
Practise conversation 1 2 3 4
Practise pronunciation 1 2 3 4
Practise phonemic script 1 2 3 4
Practise formal writing 1 2 3 4
Practise informal writing 1 2 3 4
Discuss English literature 1 2 3 4
Which of the above is most important for you? ________________________________________
Why? _________________________________________________________________________
Are you likely to communicate with British, American or non-native speakers? _______________
What subjects interest you (music, art, literature etc.)? You can write as many as you want.
________________________________________________________________________________
What do you want to be able to do by the end of the course?
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5 ____________________
In class do you like to … (circle the answer. 1 means you like it a lot and 4 means you like it the
least)
Copy from the board 1 2 3 4
Receive handouts from the teacher 1 2 3 4
Answer questions (speaking) 1 2 3 4
Work with other learners (speaking) 1 2 3 4
Work on your own 1 2 3 4
Do worksheets such as gap-fills 1 2 3 4
6 ____________________
Do you expect to use English in the future? If so, in what situations (phone calls, presentations,
meetings, emails, travel, informal chat etc.)?
_______________________________________________________________________________
Will you use English mostly in your country or other countries? __________ Where?___________
Who are you likely to speak to in English (friends, workmates etc.)? ________________________
Will you need any specialist vocabulary? ______________________________________________
Write about 100 words about yourself, who you are and what you expect from the course.
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