English Language Needs Analysis Questionnaire

Name: Gender:
Age: Occupation:

Instruction: Read each statement carefully. Choose among the three (Never,
Sometimes, Always) of which properly describes you. Answer honestly for there is no
wrong or right answer for these questions.
Mark X to your corresponding answer on each question.
Knowledge
Questions Never Sometimes Always
1. I can understand English.
2. I know the basic sentence structures.
3. I know the basic grammar rules.
4. I don’t have problems in spelling words.
5. I am good in comprehending text.
6. I can make a composition.
7. I have a wide range of vocabulary.
8. I am capable in speaking English.
9. I am confident in speaking English.
10. I have no problem in comprehending and
speaking the English language.

Mark X to your corresponding answer on each question.

Attitude
Questions Never Sometimes Always
1. I enjoy learning English.
2. I always participate in our classroom
discussion.
3. I read English text to improve myself.
4. I read grammar books to improve myself.
5. I watch educational videos to improve my
English skills.
6. I practice speaking English at home.
7. I enjoy reading books to improve myself.
8. I take grammar test to improve myself.
9. I practice my writing skills.
10. I find new ways to improve my English
skills.
Mark X to your corresponding answer on each question.
Home Assessment
Questions Never Sometimes Always
1. I speak English at home.
2. I have someone to talk to in English at home
3. We have English books at home.
4. I watch English movies at home.
5. I listen to English music at home.
6. We use English as a means of
communication at home.
7. I engage in communicating in English.
8. My parents teach me English.
9. I practice speaking English in the mirror.
10. My community taught me certain English
things.

Mark X to your corresponding answer on each question.

Assessment for Learning Materials
Questions Never Sometimes Always
1. I learn English language in:
a.) Classroom
b.) Online
c.) Environment
d.) Social interaction
e.) Movies, Tv, and Music
2. Materials that helped me improve my reading
skills:
a.) Text books
b.) Reading books (Novels, Manga, etc.)
c.) Newspapers
d.) Online Blogs
3.) Helped me improve my communication
skills:
a.) Social Media (Vlogs, Chat, etc.)
b.) Social Interactions
c.) Oral recitations
d.) Movies
Mark X to your corresponding answer on each question.
Learning Style
Questions Never Sometimes Always
1. It’s hard for me to read something new or
difficult without getting distracted easily.
2. I enjoy learning new or difficult topic by
reading about them.
3. I can remember more about something
new or difficult by talking about it rather
than reading about it.
4. I prefer new and difficult information to be
presented using poster, books or video.
5. I rely upon others to give me the basic
gist of reports.
6. I analyze reports to find the basic
assumptions and inconsistencies.
7. I am good at picking up hints ad
techniques from other people.
8. I ask probing questions when learning a
new subject.
9. I learn best by working with others.
10. I learn best working alone.

Prepared by:
Ambalong, Michaellah O.
Ermina, Joelle Alyssa G.