Level: Advanced 3

Spring 2015 Semester

English as a Second Language (ESL) Class
Needs Analysis

Part I: Personal Information/Language Background

1. Name (First Name, Last Name): ___________________________________
2. Nationality: _____________________ ; Native language: _____________________

3. Language(s) Other than English: _____________________________________________

4. Highest Educational Level: _________________ ; Major (if any): _________________

5. How long have you been studying English? Where?

________________________________________________________________________

6. How long have you lived in the U.S.? _____________________

7. What is your reason for studying English?

________________________________________________________________________

________________________________________________________________________

8. Approximately, what is the percentage (%) of your daily English usage? ________%

9. How many hours are you willing to devote to studying or reviewing English outside the

class per week? ___________ hour(s)/week

Part II: Self-Evaluation of Language Skills

1. Please indicate the level of each skill based on your perception of the skill
1 = Extremely Easy 2 = Easy 3 = Average 4 = Difficult 5 = Extremely Difficult

Skills Perception of the Skill

Grammar 1 2 3 4 5

Listening 1 2 3 4 5

Reading 1 2 3 4 5

Writing 1 2 3 4 5

Speaking 1 2 3 4 5
 Level: Advanced 3
Spring 2015 Semester
2. In terms of skill(s) you indicated as 4 and 5, which aspects of these skills do you find
especially difficult?
________________________________________________________________________

________________________________________________________________________

________________________________________________________________________

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

1 = Not important 2 = Might be important 3 = Average 4 = Fairly Important 5 = Very Important

Skills Importance of Skill

Grammar 1 2 3 4 5

Listening 1 2 3 4 5

Reading 1 2 3 4 5

Writing 1 2 3 4 5

Speaking 1 2 3 4 5

Vocabulary 1 2 3 4 5

Pronunciation 1 2 3 4 5

4. What is/are the skill(s) you would like to improve the most in this course? Why?
________________________________________________________________________

________________________________________________________________________
 Level: Advanced 3
Spring 2015 Semester
Part III: Classroom/Teacher Expectation
1. Teacher Expectation
Please indicate the extent to which you agree or disagree with the following statements.
1 = Strongly Disagree 2 = Disagree 3 = No Opinion 4 = Agree 5 = Strongly Agree

Statements Level of Rating Scale

I value a teacher who expect all classroom rules to be followed 1 2 3 4 5

I expect the teacher to provide feedback on my work, including the 1 2 3 4 5

progress of my language learning during the course
I value the teachers guidance and advice on my language goals 1 2 3 4 5

I prefer a teacher who is firm and serious rather than friendly and 1 2 3 4 5
smiley

2. Classroom Expectation
Please indicate the extent to which you agree or disagree with the following statements.
1 = Strongly Disagree 2 = Disagree 3 = No Opinion 4 = Agree 5 = Strongly Agree

Statements Level of Rating Scale

I prefer working in small groups rather than pairs during the lesson 1 2 3 4 5
I prefer to sit and listen to the teacher rather than practice speaking 1 2 3 4 5
during the lesson
I feel nervous whenever I have to speak in front of the class; e.g. during 1 2 3 4 5
presentation, reporting answers, being called on
I feel confident whenever I produce the language in the classroom; e.g. 1 2 3 4 5
speaking with classmates, answering exercise questions

Part IV: Students Voice

1. Tell me about yourself. What else would you like the teacher to know more about you?

________________________________________________________________________

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________________________________________________________________________

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