CEP Needs Analysis

Teachers College, Columbia University

Summer A 2014


Name:__________________________________________________

Nationality:_______________________________________________

1. When did you come to the U.S.?

________________________________________________________

2. What is your native language?

________________________________________________________


3. Do you know any other languages? If yes, what are they?

________________________________________________________

4. Have you learned English before? If yes, where and for how long?

________________________________________________________

5. Do you live with someone who speaks English? Who? What
language do you normally speak with this person?
________________________________________________________



6. When do you have the opportunity to practice speaking or
listening in English?
________________________________________________________
7. How often do you speak English everyday?
All the time Very often Somewhat often A little bit Only at school
8. When do you have the opportunity to practice reading or writing
in English?
________________________________________________________
9. Your goals are to:
get a job improve your speaking
get a better job improve your writing
improve conversation skills for testing purposes in U.S
improve your reading improve your grammar
learn about American culture
other: ________
(ex: talk to teachers at my childs school, get a job promotion, etc. )
10. What do you think you are good at in English?
Reading Writing Listening
Speaking Grammar Pronunciation
other:
___________________________________________________
11. What is difficult for you in learning English?
Reading Writing Listening
Speaking Grammar Pronunciation
Other:
___________________________________________________
12. Which activities are most helpful to your English learning?
watching TV listening to audio files listening to songs
field trips pair/group work writing
games pronunciation drills grammar practice
reading conversation other: _________
13. What topics do you find interesting?
American culture global issues cultural differences
food/cooking sports jobs
pop culture (music, movies, fashion, etc.) technology
other: _______________________________
14. Do you have access to a computer or laptop at home?
Yes No
15. Can you use the computer/internet to do homework?
Yes No
16. Do you have a smartphone, iPod, or iPad?
Yes No
If yes, what do you have? __________________
17. How much time do you spend on doing homework?
________________________________________________________
18. What are you interested in doing in the class?
________________________________________________________
19. What do you like to do in your free time?
________________________________________________________
20. What else would you like me to know about you?
________________________________________________________
*Thank you so much.