Language Courses Brussels : Needs Analysis

Needs Analysis

Please fill in the form below and one of our directors of study will contact you shortly with a detailed course proposal. Please note that the more information you give us, the more focused the proposal will be. Or call us on 02/734 80 73 (+322/734 80 73 from outside Belgium) to discuss your needs over the telephone.

First name

Surname

Street and number

Post code and town

Phone private

Phone office

E-mail

Company

Street+number (if company is to be invoiced)

post code + town (" ")

Mother tongue

Which language would you like to learn?

Personal goal/Aim of course

Where would you like to have your classes?

If not at the school, give the address
(or indicate company or private address)

Which days of the week are you available?

Preferred time of day, with a margin if possible

How many hours and/or lessons per week?

Preferred start date

How do you evaluate your language skills?

	None	Some	Average	Good	Very Good
Grammar
Speaking
Listening
Reading
Writing

Which language skills would you like to improve?

1 - not very important, 5 - very important

	1	2	3	4	5
Grammar
Speaking
Listening
Reading
Writing

In which of the following situations do you intend to use the language?

1 - rarely, 5 - very often (please select all that apply)

	1	2	3	4	5
1. Tourist encounters, getting by
2. Working alongside others who speak the foreign language
3. Extended visits to country with social contacts
4. Computer, e-mail and internet use
5. Exam preparation
6. General cultural interest
7. Participating actively in formal meetings and conversations
8. Telephone calls
9. Addressing an audience, presenting products and/or services, selling
10. Following seminars, conferences or listening to presentations
11. Reading reports, correspondence, brochures, manuals
12. Writing business letters and reports
13. Training or supervising others
14. Non-professional social life
15. Other (specify below, under 'additional comments')