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Need Analysis Form for Students of English
Needs Analysis Form - English Students
First Name
*
Last Name
*
Email
*
Phone
Country of Origin
Profession
Educational Background (university, graduate school, etc.)
What time zone do you live in?
When are you available to take classes?
What are your interests/hobbies? What do you like to do in your free time?
English Level
*
A1 (beginner)
A2 (pre-intermediate)
B1 (lower-intermediate)
B2 (upper-intermediate)
C1 (advanced)
If you have not taken a placement test, please estimate your level using the table on
this page
.
How many classes do you want per week?
1 class/week
2 classes/week
3 classes/week
4+ classes/week
What experience do you have learning English already? Have you taken other English classes or courses before?
What's your motivation for learning English? Do you need English for your job? Are you learning just for fun?
What are you English learning goals? What problems do you want to solve? How do you want to improve your English?
What is the most difficult part of English for you?
What areas do you want to improve? (You can choose more than one)
Grammar
Vocabulary
Listening
Reading
Writing
Speaking
How often and how do you use English in your everyday life?
Watching Series/Movies:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Listening to podcasts:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Reading news articles/books:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Listening to music:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Chatting with friends online:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Speaking over the phone:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Reading/answering emails:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Attending work meetings/conferences:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
Giving presentations:
Everyday
Three times/week
Once/week
Once/month
Once/6 months
Once/year
Never
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