Community English Program

Teachers College, Columbia University

Level: I2
Fall 2015
Instructor: Joanna Hu

Needs Analysis
Please answer the following questions. Note: Yours answers will not be scored.
Personal Details:
Name:
Preferred name/Nickname:
Age:
Nationality:
First Language:
Educational Experience (Highest degree youve got):
Occupancy (Job):
Language Background:
1. How many years have you learned English in school?
2. What other languages do you speak?
3. Why are you studying English? (Check all that apply)
Daily communication

Academic needs

Business/ job purposes

Interest and enjoyment

Other (Please specify):

4. Please check () the importance of the following skills to you.
Skills

Very strong
5

Strong
4

Average
3

Weak
2

Very weak
1

Speaking
Listening
Reading
Writing
Pronunciatio
n
Grammar
Vocabulary
(Continued on the reverse side of this paper)
5. Please check () the description that best matches your current ability of the following:
Skills
Speaking
Listening
Reading
Writing

Very strong
5

Strong
4

Average
3

Weak
2

Very weak
1

Community English Program

Teachers College, Columbia University
Level: I2
Fall 2015
Instructor: Joanna Hu

Pronunciatio
n
Grammar
Vocabulary
Learning Style:
1. What ways help you learn English? (Check all that apply.)
Watching movies/dramas
Listening to songs

Watching on-line speeches/lectures

Reading books/newspapers

Writing essays/diary

Playing games

Speaking with people

Doing grammar exercises

Other (Please specify):

Others:
1. What do you expect to get from the CEP class?

2. What else would you like me to know about you?

Thank you for completing this

survey.