UNIT 1: Needs Assessment

Needs Assessment

I found the following needs assessment online and figured it would be useful for the first day of class in a group setting or one-on-one when completing intake for a program. I would use this assessment at the beginning of class to get to know what my learners’ needs are in regards to learning English as a second language.  This assessment would be used for a low -intermediate level class. (CLB 4)

Working as a group, the assessment can be projected on to the whiteboard (or wall) and all learners can fill out the assessment in private while instructor goes through each question.   The instructor can assess the students while they are filling out the information. If assessing one-on-one, the instructor can work through the assessment with the learner, learner would have to fill out information for instructor to identify writing strengths and weaknesses.

The following can be assessed just by filling out the assessment: their interests, medical and personal information, writing, spelling, grammar, reading, communication skills (including pronunciation), comprehension and what and how they want to learn English.  All this information is useful to the instructor for lesson planning around the leaner’s needs. It also helps an instructor to identify what learners want to learn and how they want to learn it. 

NEEDS ANALYSIS-PRIVATE STUDENTS

PERSONAL INFORMATION

Name: _______________________________________  Date ___________________________

Age (circle one):   18-21     22-25      26-29       30-35      36-40      41-45     46-50         51-60       60+

Phone Number: __________________ Email address: _________________________________

Address:_________________________________________ Nearest Metro: __________________

Living Arrangements:     Live alone     With partner      With family        Shared accommodation

Do you have children?:                Yes        No         Age (s)________________________________

Medical Conditions / Learning Disabilities (please specify condition and details): ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Availability for classes – please specify for each day the hours that you are able to attend classes:

	7 - 8.30am	9 - 10:30am	12 –1:30pm	4-5:30pm	6-7:30pm	8-10pm
Monday
Tuesday
Wednesday
Thursday
Friday

Why do you want to learn English? (please circle all that apply)

Work         Travel             Friends/ Family / Partner            Film/TV/Music                Internet/Gaming

Any other information _______________________________________________________________

Company & Address: (if classes will take place at office):

_________________________________________________________________________________

Job Title / Position: _______________________Responsibilities (eg. Giving presentations, 

contacting clients, travelling abroad):  ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

How / when do you use English in your job? (please tick the frequency for each)

	Never	Once/year	Once/6 months	Once/month	Once/week	Every Day
Email
Phone
Skype
Meetings
Reports
Presentations
Other

EDUCATION

Highest level of education: ___________________________________________________________

Field of Study: _______________________________________When? _____________________

Method of Study: Online / Academic Institution ________________________________________________________________________________

If Academic Institution, which one? ________________________________________________________________________________

Other Languages	From when until when?	Where	Certification

How would you rate your ability in English for the following skills? (1 being poor, 5 being excellent)

Reading              1            2            3            4            5

Writing               1            2            3            4            5

Speaking             1            2            3            4            5

Listening             1            2            3            4            5

Which areas of English do you find most difficult?

Reading          Writing               Speaking             Listening              Grammar           Pronunciation

Which do you prefer? (put a check mark beside preference)

To speak slowly and very accurately ___ 

To speak more quickly but making quite a few mistakes ___

OTHER INFORMATION

What are your hobbies and interests? __________________________________________________________________________________________________________________________________________________________________

Who was your favourite teacher (for any subject at any time) and why? __________________________________________________________________________________________________________________________________________________________________

 Please write 3 goals you have for the future.  ___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Do you want homework?           Yes        No

Thank you for your time!

ISLCOLLECTIVE Website.  Needs Analysis Template – Janthonyteacher,  2017-02-10, Retrieved from https://en.islcollective.com/resources/printables/worksheets_doc_docx/needs_analysis_template/beginner-prea1/95516