Scribd
Upload
73 views

Sample Needs Analysis Questionnaire

This document contains a needs analysis questionnaire for an English language student. It collects information about the student's background, current English level, previous English study, goals for studying English, preferred learning styles, and intended future use of English. The questionnaire addresses topics such as the student's occupation, languages spoken, previous English education, strengths and weaknesses, preferred skills, learning preferences, and plans to use English professionally or personally in the future.

Uploaded by

SalVelasquez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
73 views

Sample Needs Analysis Questionnaire

This document contains a needs analysis questionnaire for an English language student. It collects information about the student's background, current English level, previous English study, goals for studying English, preferred learning styles, and intended future use of English. The questionnaire addresses topics such as the student's occupation, languages spoken, previous English education, strengths and weaknesses, preferred skills, learning preferences, and plans to use English professionally or personally in the future.

Uploaded by

SalVelasquez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 5

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.
________________________________________________________________________________

Do you use English outside your work? __________

If yes, in what situations (travel, watching TV, restaurants etc.)?


________________________________________________________________________________

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?


________________________________________________________________________________

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.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

You might also like