Community Language Program

Conversational English: Advanced

Needs Analysis
1. NAME: First Name
Last Name
to call you
Example: Weixi
Zhang
___________________
_____________________________

Name you want me

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?
(choose one)

______ day/s
______ week/s
______ 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

current events
_____giving oral presentations
_____inviting/rejecting invitations

_____giving my opinion about

_____taking lecture notes
_____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?
No

____ Yes

____

Example: ________________________

b. Read newspapers or magazines?

____ No

Example: ________________________

c. Watch TV?
____ No

____ Yes

Example: ________________________

e. Talk on the phone?

Yes

____ Yes

Example: ________________________

d. Write e-mails?
____ No

____ 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)
_____ Happiness/emotional intelligence
______ Work environment (interviews, presentations)
Other topics I would be interested in talking about include
__________________________________________________________

15. What I liked about todays lesson was

16. I think Amy Joy 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!