ESL Placement Literacy Assessment

Encourage your student to write the answer to the questions in the space provided.

Repeat that this is not a test, rather it is an assessment of their current level

of proficiency.  They may answer the questions in English or their native tongue

1. What is your name? ____________________________________________________________

2. What is your address? __________________________________________________________

3. Are you married? _______________________________________________________________

4. How many children do you have? __________________________________________________

5. Where were you born? ____________________________________________________________                                                                         (Write in Country)

6. What day is today? _____________________________________________________________

7. How long have you lived in this city? _______________________________________________

8. Do you have a job? Where do you work? ___________________________________________

9. What kind of work do you do? _____________________________________________________

10. What do you need to study? ______________________________________________________

11. Did you attend school in your native country? ________________________________________

     How long? _____________________________________________________________________                                                                          (Write in years)

12. Have you studied English? _______________________________________________________

     How long? _____________________________________________________________________                                                                            (Write in years)

13. Why do you want to study English? ________________________________________________

14. What do you do in your spare time? ________________________________________________

15. Tell me something about your family. _______________________________________________