Community English Program (CEP) Alice Kim & Amanda Loy Needs Analysis Personal Information 1. Name: 2.

Nationality: 3. First Language: 4. Number of years I have lived in the US:

Fall 2013

Educational Information 1. Briefly describe your educational background. (For example: where did you go to school, highest education level, etc.)

2. How long have you been studying English? 3. How did you learn English previously? (For example: self-taught, in school setting, tutoring, etc.)

4. Have you ever learned English in the U.S. before? If yes, how long and where did you study?

Yes

No

English as a Second Language 1. What are your goals for this class? Why are you learning English?

2. What activities are most helpful to your English learning? Conversation Grammar practice Watching videos Reading Pronunciation drills Other: ______________________________________________

Pair/group work

3. What topics are you interested in? American culture Politics Business Music Travel Cooking/food Sports Movies Technology Other: ______________________________________________ 4. Do you have a computer that you can use at home? Yes No 5. How comfortable are you in using technology for class-related activities and assignments? (Check only one) Very comfortable Moderately comfortable Somewhat comfortable Not comfortable at all 6. Please rate your English language skills by placing a check mark in each of the columns below
1 = Very Weak 2 = Weak 3 = Average 4 = Strong 5 = Very Strong

Community English Program (CEP)

Fall 2013

1 Reading Writing Listening Speaking Grammar

Previous Reading Experiences (both in first and second languages) 1. Were you read to as a child? Y/ N 2. How often do you read? 3. What type of books do you like to read for pleasure?

4. How were you taught literature in your L1 (first language) and/or in your L2 (second language)?

Self-Assessment of Native Language & English Literacy Skills Please describe your opinions of your skills and achievements as a reader. (4=Strongly Agree, 3=Agree, 2=Disagree, 1=Strongly Disagree) 4 1. I am a fast reader in my native language(s). 2. When I read in my native language(s), I comprehend 90% of what I read. 3. When I read texts in English, I read quickly. 4. When I read in English, I comprehend 90-100% of what I read. 3 2 1