Learner needs analysis

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Name of course you are studying:

  • On a scale of 0-10 please rate your existing knowledge or skills for this course

Contact details

Please only complete the details with which you prefer to be contacted with:

Postal address


Mobile phone



What languages can you speak/write?

What is your experience e.g education, work, hobbies, interests?

Do you have any special or unique learning needs?

Do you know your preferred learning style? If Yes, what is it?

Please list the topics or skills you want help with:

What are your desired outcomes from peer tutoring?

How many sessions of tutoring per week do you think you need to achieve these outcomes?

How many weeks of tutoring do you think you need?

What day/s and time suits you best for tutoring?

What other resources do you think you might need to achieve your desired outcomes?

Preferred information formats

On a scale of 0-5 (5 being most preferred) please rate your preferences for information formats:

  • Printed text book
  • Printed work sheet
  • Website activity
  • Video
  • Audio recording

What is your preferred communication method with me?

Tick appropriate options:

  • Face to face
  • Telephone/vision
  • Text message
  • eMail
  • Mail
  • Other

What has been negotiated

Agreed desired outcomes:

Agreed tutoring schedule:

Agreed venue for tutoring:

Agreed resources to be sourced by student:

Agreed date for review: