Community

Language Program
Conversational English: Advanced
Needs Analysis

1. NAME: First Name Last Name


Name you want me to call you
Example: Weixi
Zhang



Wish
___________________
___________________
___________________

2. First Language: ___________________
Other Languages: _______________________________________

4. Do you have a smart phone or can you record audio on your phone? ____ Yes ____ No

5. Do you have an email address? ____ Yes ____ No What is it? _______________________________________

6. Do you use Facebook?

____ Yes ____ No

Instagram?
____ Yes ____ No
Whats App?
____ Yes ____ No
Other social websites? ____ Yes ____ No Name/s? ________________________________________

7. I have studied English for (choose one to describe your past learning experience)




______weeks



______ months




______ years
8. How long have you lived in the USA? ______ day/s





______ week/s
(choose one)

______ month/s





______ year/s

9. I want to improve my speaking and listening abilities in... (choose all that apply)
_____establishing new friendships _____understanding speakers of English with different accents
_____asking for/ giving advice or help _____giving my opinion about current events
_____giving oral presentations _____taking lecture notes
_____inviting/rejecting invitations _____professional interviews


10. It is important for me to improve speaking and listening in English because

______________________________________________________________________________________________________________________________
______________________________________________________________________________________________________________________________

11. Do you use English now to:
a. Read on the Internet?

____ Yes ____ No Example: ________________________

b. Read newspapers or magazines?

____ Yes ____ No Example: ________________________

c. Watch TV?

____ Yes ____ No Example: ________________________

d. Write e-mails?

____ Yes ____ No Example: ________________________

e. Talk on the phone? ____ Yes ____ No To whom? _______________________

12. Complete the following sentences with your own opinion.

a. I think speaking fluently means _____________________________________________________________________________.
b.

When a teacher corrects my speaking, I feel _________________________________________________________________.

c.

When I dont understand someone speaking in English, I __________________________________________________.

13. Thinking about my own skills in English, I want to improve

a. speaking for longer periods of time


____ Yes ____ No

b. speaking more formally

____ Yes ____ No

c. my knowledge of slang

____ Yes ____ No

d. ways to speak more naturally

____ Yes ____ No

e. my knowledge of vocabulary

____ Yes ____ No

f. my knowledge of grammar

____ Yes ____ No

14. Topics I would be interested in learning and speaking about are
_____Culture (values, assumptions, stereotypes) _____New York City (lifestyle, news, events)
_____Education (traditional and non-traditional) _____Current Events (local, national, & international news)
_____Art (traditional and non-traditional)
_____Social issues (dating, transportation, the environment)

Other topics I would be interested in talking about include __________________________________________________________

15. What I liked about todays lesson was





16. I think Emily speaks
______ too slow
______ too fast
______ just right

17. Is there anything you want to tell me? (about yourself or how you like to learn/study)




















Thank you!