NEED ANALYSIS FORM

MAMOONA KHALID
Miss. Ibtessam Afreen

Centre of English Language Teaching

Need Analysis Form
Instructions:

The aim of this form is to investigate the English learner needs of students, trying to
find out their learning style, skills priorities and current deficiency level. So you are
kindly requested to answer the questions below. The results of this questionnaire
will be used for designing the English Language course for CENTRE OF ENGLISH
LANGUAGE TEACHING.

Please read each question carefully and answer as accurately as you can.

1. Name:

..................................

2. Nationality:

..................................

3. Date of Birth:

..................................

4. Address:

...............

.....................
5. Telephone:

..................................

6.

Cell Phone:

..................................

7.

E-mail:

..................................

8.

First language:

.................................

9.

Home language:

..................................

10. Other language spoken: ..................................

11. Other language studied: ..................................
12.

What gender are you? (Mark on the box).

Male
Female

13. How old are you? (Mark on the box).

1.
2.
3.
4.
5.

Under 14
14 -15
16 -17
18 -19
20+

14. Your main occupation:

15. Do you have a part time job? (Mark on the box).
1.
2.
3.
4.

No
Yes, less than 10 hours a week
Yes, from 10 to 17 hours a week
Yes, more than 17 hours a week

16. Why do you have a part time job? (Mark on the box).
1.
2.
3.
4.
5.
6.

I do not have a part time job

To help support myself (basic housing, food)
To help make money for my own use (spending money)
To help support my family
To pay for my future education
Other (please specify): ..

17. Your qualification before attending this language program. (Mark on the box).
1.
2.
3.
4.

Primary level
Secondary level
Matriculate
Other (please specify) ...............................

18. Number of years learning and using English (include school and life experience):

19. Your languageproficiency at the present. (Mark on the line).

comprehension when reading.
______________________________________________________________________________________________
Not great
OK
Good
Excellent
Outstanding
Fluency and confidence in speaking.
______________________________________________________________________________________________
Not great
OK
Good
Excellent
Outstanding

 Accuracy when speaking.

______________________________________________________________________________________________
Not great
OK
Good
Excellent
Outstanding
Understanding of other speakers.
______________________________________________________________________________________________
Not great
OK
Good
Excellent
Outstanding
Accuracy when writing.
______________________________________________________________________________________________
Not great
OK
Good
Excellent
Outstanding
Range of vocabulary.
______________________________________________________________________________________________
Not great
OK
Good
Excellent
Outstanding
20. In your opinion, what kind of grades (marks) do you usually get in English? (Mark
on the box).
1.
2.
3.
4.
5.

Poor
Fair
Average
Very good
Excellent

21. How often do you use English at work? (Mark on the line)
_______________________________________________________________________________________________________
Daily
nearly every day
a few times a week
a month
never
22. When you speak English, how much do other people understand? (Mark on the
box)
1.
2.
3.
4.
5.
6.

Everything
Most of it
Some of it
A little
Very little
Nothing

23. When people speak English to you, how much do you understand? (Mark on the
box)
1.

Everything

2.
3.
4.
5.
6.

Most of it
Some of it
A little
Very little
Nothing

24. When you watch TV, how much do you understand? (Mark on the box)
1.
2.
3.
4.
5.
6.

Everything
Most of it
Some of it
A little
Very little
Nothing

25. Why do you want to study this language? (Mark on the box)
1.
2.
3.
4.
5.

for study
for work
for training;
for a combination of these
for some other purposes, e.g. status, examination, promotion.

26. How will the language be used for? (Mark on the box)
1.
2.
3.
4.

Medium: speaking, writing, reading, etc

Channel: e.g. telephone, face to face
Types of text or discourse: text, lectures, catalogues, etc.
Academic reading and writing

27. Where will you use language? (Mark on the box)

1.

2.

3.

Physical setting: e.g. office, lecture theater, hotel,

workshop, library;
Human context: alone, meetings, demonstrations,
on telephone;
Linguistic context: e.g. in own country, abroad.

28. There are many ways to learn a new language. Think of your own language
learning.Which activities do you find you enjoy doing the most? (Mark on the
line)
Working alone
___________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable

 Working with one other student

___________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Working in small groups
___________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Working as a class
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Completing a task through a problem-solving activity
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Acting out a role-play exercise example: buying a bus ticket
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Taking decisions about personal learning activities
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Prefers a teacher directed lesson with explanations
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Completing imaginative and creative activities project work
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
Giving and accepting advice and decisions
__________________________________________________________________________________________________
Most enjoyable
Very enjoyable
Slightly enjoyable
Not enjoyable
29. Which of the following English skills would you like to improve? Rate the
importance of each. (Mark on the line).
Listening to pronunciation of American English
___________________________________________
High
moderate
low

 Meeting note taking

___________________________________________
High
moderate
low
General Listening
___________________________________________
High
moderate
low
Giving Presentations
___________________________________________
High
moderate
low
E-mail writing
___________________________________________
High
moderate
low
Reading quickly
___________________________________________
High
moderate
low
Reading critically
___________________________________________
High
moderate
low
Summarizing material
___________________________________________
High
moderate
low
30. How much time will you regularly spend working on your English outside classes?
(Mark on the box).
1.
2.
3.
4.

2 hours per week or less.

Between 2 hours per week
1 hour per day
More than 1 hour per day

31. Where would you like to study? (Mark on the box).

1.
2.

Home
Language Institution

32. How much you can use English in the following contexts? (Mark on the box).
a) Reading reports, correspondence etc.
(b) Reading instruction manuals, technical articles
(c) Telephone calls
(d) Conversation and informal meetings
(e) Participating in formal meetings
(f) Addressing an audience - giving presentations
(g) Taking notes during meetings, conferences etc.
(h) Writing business, letters, emails etc.
(i) Writing reports
(j) Working with others who speak English

Never

Rarely Sometimes

Frequently

33. How often does the following happen to you? (Mark on the line).
Have trouble understanding meetings in English
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Have trouble taking effective notes
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Have to ask colleagues to repeat what was said
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Have trouble understanding lengthy descriptions in English
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Have difficulty understanding multiple speakers at once
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
34. How often do you have difficulty with each of these skills? (Mark on the line).
Reading
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never

Writing

a lot

___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Speaking
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Listening
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
35. In the course of study/work, how often are you expected to use the following
skills? (Mark on the line).
Reading
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Writing
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Speaking
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
Listening
___________________________________________________________________________________________
Very often
Often
Sometimes
Rarely
Never
36. What resources do you use at home/ work to learn English? (Mark on the box).
1.
2.
3.
4.
5.
6.

Dictionary- bilingual/ monolingual

Internet access
TV/ DVD
Press- general and specialized
Games
Studying English books

37. What can you read in English? (Mark on the box).

1.
2.
3.

Novels
Short stories
School notes and lectures

4.
5.
6.

Newspapers
Forms (Bank, P.O., C.E.S)
Others (please specify) ..

38. What are your short term and long term aims for English?

short term aims : ..

long term aims: ....

Questions for Stakeholders

1. How much money would you like to invest on this language program?
.................................................................................................................................................................................
2. How much profit do you want to make out of it?
.................................................................................................................................................................................
3. What would be the ideal number of students in this langauge centre?
.................................................................................................................................................................................
4. Would you give enough autonomy to teacher to design their own syllabus?
.................................................................................................................................................................................
5. Would you provide Audio Visual Aid,Language Labs or any other audio lingual facility
that facilitate learning?
.................................................................................................................................................................................
6. What kinds of book would you provide?
1.

Books written by local authers

2.
3.

Imported books
Others (please specify) .

.................................................................................................................................................................................
7. Would you provide th photocopy/print out/color print facility in the language
centre?
.................................................................................................................................................................................
8. Are there any existing libreraries in the language centre?
.................................................................................................................................................................................
9. When would you like the course to end?
...............................................................................................................................................................................

10. How long would you like the classes to last?

For private classes (minimum 3 hours per week): ...............................................................

For regular classes (minimum an hours per day): ................................................................

11. How many teachers would you alot per one course?
..........................................................................................................................................................................................
12. Would you provide break in the middle of the class?
.............................................................................................................................................................................................
13. Would there be any cafeteria/canteen/kitchen within the language centre?
.............................................................................................................................................................................................
14. Your prefrences relating to methodologies:

Course length :
Intensity:

.............................................................
.............................................................

Interview
Interviewer: ............................................
Interviewee: ............................................
Date:
............................................
1. Full name:

.....................................................................

2. Age:

.....................................................................

3. Nationality :

.....................................................................

4. First language:

.....................................................................

5. home language:

.....................................................................

6. Other languages spoken:

.....................................................................

7. Qualification:

.....................................................................

8. What is your purpose of coming to this language class?

9. Have you studied English before?
10. How long have you been studying English and to what level?
11. Whats the last thing you did in English?
12. How do you like studying English?
13. Which parts of the language do you find most difficult?
14. Which skills do you use/need/lack most?
15. How far do you want/need to go with your English?
16. . Where do you use English?
17. . Who do you speak English with - native / non-native speakers?
18. How formal does the English you use need to be?
19. What kind of learner are you? Tell one of your best learning experiences.
20. According to you what is the best way to learn a language?

21. What is your concept of teaching and learning?

22. What teaching/learning methodology appeals to you the most?
23. What sort of techniques bore/alienate you?
24. What expectations do you have of your teacher/language coach?
25. Is there anything else we should know about? For example, special needs,
learning difficulties, medical conditions or other factors which might affect your
learning.
26. What do you think are your strengths/weaknesses as a language learner?
27. What are your life goals?
28. Is there anything youd like to add or clarify?
29. Do you have any questions for us?