2.

Specification Table of
Questionnaire Blue Print
(Kisi-kisi of Questionnaire
Need Analysis)

 For Parents
No Indicator Component Item Total
. no.

1. Personal A 5
information
a) Name 1
b) Age
c) Education 2
d) Occupation
e) Income per 3
month
4

2. Family B
information
 Name of B1 5
husband or wife
a) Name
b) Age
c) Education 1
d) Occupation
e) Income per 2
month
3

 Child 4
a) Number of
5
children
b) Age
c) Education
d) Learning 5
English
experience B2
e) Interested in
Learning 1
English
 2

TOTAL A and B 15

The program C 2
needed
a) Family activities 1
on holidays
b) The activities
needed on
holidays 2

3. Objectivities  Providing the 4 3

English
teaching and
learning process
 Improving
children
English ability
 Spending
5
holidays while
learning
English
3

4. Kinds of material

 Improving four 4
skills
a) Materials
improve reading
skill 6
b) Materials
improve writing
skill
c) Materials
improve
listening skill 7
d) Materials
improve
speaking skill
  Topics or theme
related to the
grand touring 8
places
a) Number of
theme that will
be taught
b) Learning
English based on 9
the theme
 Improving
language
function based
on the activities 2
a) Number of
language
functions that
will be taught
b) Learning
English based on 10
language
function

11

12

13

5. Teachers’ a) Number of 14 2
qualification teacher
b) The criteria of
teacher
 15

7. Activities a) The indoor 16 2

activities support
the outdoor
activities
b) Outdoor
activities needed

17

8. Facilities according a) Number of place 18 3

to the activities b) Interesting
places of grand 19
touring
c) Supporting
facilities for
grand touring

20

TOTAL C 20

TOTAL A, B1, B2, and C 35

 For children
No. Indicators Component Item Total
no.

1. Personal A1 3
information
a) Name 1
b) Age
c) Education 2

2. Parents A2 3
information
a) Father’s or 1
mother’s name
b) Age 2
Occupation
3

3 Learning English  The B 2

experience of
learning
English
 a) Time
b) Place
1

TOTAL A1 and A2 8

4. The interesting of a) Technique 3 2

learning English b) Materials
4

5. The program a) Family 5 2

needed activities on
holidays
b) The activities
needed on
holidays
6

6. Objectivities  Improving 8 2
English
ability
 Spending
holidays 7
while
learning
English
7. Kinds of material  Improving
four skills
a) Materials 4
improve
reading skill 9
b) Materials
improve
writing skill
c) Materials
improve
listening skill 10
d) Materials
improve
speaking skill

11

12
8. Activities a) The indoor 13 2
activities
support the
outdoor
activities
b) Outdoor
activities
needed

14

9. Facilities according a) Number of 15 2

to the activities place
b) Interesting
places of
grand touring 16

TOTAL B 16

TOTAL A1, A2, and B 22