Needs Analysis Questionnaire

Name __________________________

Date ______________________

1. Why would you like to improve your English proficiency? Please be specific. Give
examples of situations that have been difficult for you in using English.

2. What specific areas of English would you like to have improved by the end of this
course?

3. When people speak to you in English, how much do you understand? Check the
amount that applies to you.
___ Everything

___Most

___Some

___A little

___Very little

4. When you watch TV/movies, how much do you understand? Check the amount.
___ Everything

___Most

___Some

___A little

___Very little

5. When you speak English, how much do other people understand what you say?
___ Everything

___Most

___Some

___A little

___Very little

6. Order the specific skills that you need/ want to develop on from 1 to 6, with number 1
being the most important and number 6 being the least important for you at this time.
Please use each number only once.
___ Reading

___ Writing

___Vocabulary

___ Pronunciation

___ Listening

___ Speaking