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Needs Analysis One-to-One Students

Name
Nationality
Occupation
Telephone (daytime)
Reasons for One-to-One Study
Date Course to Commence
Days of week to study
Time of day to study
Teacher

Skills Needs

Topic (circle one) General English /Business English/ Academic English

Writing Comment

Reading Comment

Speaking Comment

Listening Comment
Topic Areas of Comment
Interest

Priorities: Comment
What do you
hope to learn
on the course?
What are you Comment
most confident
about
regarding your
English?
What do you Comment
find most
difficult?
To what level Comment
have you
studied
before?
Which English Comment (with grades etc)
examinations
have you
taken?

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