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English Class: Baseline Assessment

1. Why do you want to learn English?


To speak more easily with people at work
To learn hospitality vocabulary
For personal travel
To have conversations with international friends
To help my children with homework
Other, please specify:
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2. What experience have you had with learning English?
Ive lived in an English speaking country
Ive taken formal English classes
Ive taken online courses
Ive learned from what Ive seen on TV/movies/Internet
Ive had no English training
3. On a scale of 1 (I am unable to do this) to 5 (I feel completely comfortable
doing this), rate your ability to do the following in English:
- Introduce myself and ask basic questions _____
- Ask for/give directions _____
- Offer recommendations/give information _____
- Order in a restaurant _____
- Talk about my likes/dislikes ____
- Participate in an informal conversation ____
- Describe my work in a formal interview ____
4. Are there any topics you would like to be covered in this course?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
5. Is there anything else we should know?
______________________________________________________________________________
______________________________________________________________________________
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