Universidad de Costa Rica

Maestra Profesional en la Enseanza del Ingls

PF-0318 English for Specific Purposes
Jose Miguel Vargas Vsquez-A56003
English for Academic Purposes Survey
General Information: The purpose of this questionnaire is to identify academic needs of
Graphic Designers for English instruction. The data gathered will be used to develop a
teaching proposal that addresses one of the identified needs. All responses are strictly
confidential, so please answer the questions as honestly as possible. Thanks for your time
and feedback!
I.
Personal Information
Name:_________________________
Email:_________________________

School year:____________________
Telephone number:_______________

II.
Knowledge of the Language
1. Have you taken any English course before? Yes*/ No
If so, where have you taken it? (Feel free to mark more than one option)
Public High-school

Bilingual High-school (Spanish/English)

University
Language Institute, for how long?______________________________

2. How confident do you feel at performing each of the following language skills?
Not confident
Need more
Confident
Extremely
at all

practice

confident

Listening
Speaking
Reading
Writing
3. On a scale of 0 to 5, how motivated do you feel about learning English, with 0 meaning
not motivated at all and 5 being extremely motivated?
Not motivated at all
0_ 1_ 2_ 3_ 4_ 5_
Extremely motivated
Why?___________________________________________________________________
________________________________________________________________________
________________________________________________________________________

III.
English for your major
1. Is English important to the study of your major? Yes/No
Why?________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2. How important is each of the following language skills for your major? Use the scale
below to indicate your response.
Not important

Fairly important

Important

Very important

Listening
Speaking
Reading
Writing
For those skills that you selected as very important, please explain why:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
3. What types of professional tasks require you to speak English?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
4. What kind of materials do you need to listen to in English?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
5. What type of texts do you need to read in English?
_____________________________________________________________________
________________________________________________________________________
________________________________________________________________________
6. What kind of texts do you need to write in English?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
7.
a.
b.
c.
d.

In order of importance, mention four professional activities in which you need English:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

IV.
Learning styles:
1. How much do you agree or disagree with the following statements?
Strongly

Disagree

disagree

Agree

Strongly
Agree

I enjoy participating in discussions

and/or classroom debates
I rather listen to a lecture than read the
material in a book.
I learn better when information is
presented visually.
I typically follow written instructions
better than oral ones.
I learn better by doing than observing
I learn best when physical activity is
involved.
I benefit from studying with a partner or
study group.
I like working individually
V.
1.
a.
b.
c.
d.

Learning Outcome
What are your priorities for learning English? Mention four of them.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

2. Is there any other special consideration that the teacher should keep in mind to help
you reach these outcomes?
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

Thanks for your collaboration!