Intermediate 2

Name:

Needs Analysis
I. Personal Information
1. Where are you from (city/country)? ______________________________________________
2. What is your native language? __________________________________________________
3. What other languages do you speak? _____________________________________________
4. How long have you lived in the U.S.? ____________________________________________
5. How long have you been studying English/where?
_____________________________________________________________________________
_____________________________________________________________________________
II. Communication/Skills
1.What purposes for using English interest you?
(1=low, 5=high)
Social English
1
2
3
4

Business English

Academic English

English for travel

Telephone or e-mail

Giving Presentations

Listening to discussions, lectures

Problem-solving activities

Other ________________________________________________________________________

Intermediate 2

Name:

2. How important is it for you to focus on the following?

(1=not important; 5=very important)
Listening

Speaking

Writing

Reading

Grammar

Vocabulary

Pronunciation

3. Can you use the computer/ internet to do homework?

4. How much time do you have to study English outside of class?
5. Do you have any area of interests? (global issues, American culture, sports, cooking, others)

6. Tell me about yourself (at least one paragraph).