Needs Analysis Individual - UPDATED 2017 Step 1 of 3 33% Page 1First Name*Last Name*Address* Street Address City State / Province / Region ZIP / Postal Code Mobile Phone*Phone*Email* Home Country*Languages spoken Page 2Language of Study*AfrikaansAlbanianAmharicArabicASL (America Sign Language)BahasaBengaliBosnianBulgarianBurmeseChinese (Cantonese)Chinese (Mandarin)CroatianCzechDanishDutchEnglishESL (English as a Second Language)EstonianFarsiFinishFlemishGermanGreekHebrewHindiHungarianIcelandicIndonesianItalianJapaneseKazakhKoreanLatvianLithuanianMalayNorwegianPolishPortuguesePunjabiRomanianRussianSerbianSlovakSlovenianSomaliSpanishSwedishTagalogTeluguThaiTigrinyaTurkishUkranianUrduVietnameseOtherWhat is your experience learning and using this language?Please rank each skill area 1-10 (10 being near native), and include any additional notes on your abilities:Speaking*12345678910Additional notes:Listening*12345678910Additional notes:Reading*12345678910Additional notes:Writing*12345678910Additional notes:Vocabulary*12345678910Additional notes:Grammar*12345678910Additional notes:Pronunciation*12345678910Additional notes:Please check the areas that you would like to focus on during your training, and any notes about what in particular you hope to accomplish:Areas of focus Daily Communication Business Academic Specific Purpose Speaking Listening Reading Writing Vocabulary Grammar Pronunciation Test Preparation Additional goals and areas of interest:How much time can you dedicate to homework every week? Page 3 FinalPlease select your preferred class location*LTC Language Solutions' OfficesMy WorkplaceMy HomeOnline (Skype, FaceTime)Public LocationHow long would you prefer each class to last?*1 hour1.5 hours2 hours2.5 hours3 hoursImmersionHow many times per week would you like to meet?*123456Which days of the week?*MondayTuesdayWednesdayThursdayFridaySaturdayWhich days are NOT available for classes?*MondayTuesdayWednesdayThursdayFridaySaturdayWhat time of the day works best for you?*MorningAfternoonEveningPreferred start date:
