Sample Needs Assessment Forms Page 4
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4eSOL LeArner needS ASSeSSMenT, COnTInued
This portion should be filled out on the first day of class
Name:
Date:
Level:
Term:
What do like to do in your free time?
Your goals are to...
❑ ❑
❑ ❑
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get a job
improve your speaking
learn more about
american culture
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❑ ❑
get a better job
improve your writing
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other
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get more education
improve your pronunciation
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improve your reading
improve your grammar
Which activities are most helpful to your English learning?
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conversation
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listening to tapes
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writing
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other
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field trips
pair/group work
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games
pronunciation drills
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grammar practice
reading
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idiom practice
songs
Where do you want to speak better English?
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at work
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at the doctors
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other
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on the bus/train
on the telephone
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with friends
in stores
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with neighbors
at your children’s school
Do you want to read/write better English for...?
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checks
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maps/directions
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other
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bills
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forms
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ads in newspapers
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job applications
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catalogs
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your children’s report cards/
school notes
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work notices
What other things do you want your teacher to know?
SOURCE: The Greater Homewood Community Corporation
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Parent category: Business