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Education & Academic

Learner Needs Assessment: Curriculum & Support Priorities

Assesses how well current curriculum, resources, and support structures meet learner needs, identifying gaps and priorities to guide program improvements. Designed for enrolled students or active learners in formal or informal educational settings.

Sample questions

A preview of what’s in the template. Every question is editable before you launch.

24 questions · ~11 min
Q01
Message

Welcome! Thank you for participating in this Learner Needs Assessment. This survey takes approximately 11 minutes. Your responses are confidential, reported only in aggregate, and will be used to improve curriculum and learning support. There are no right or wrong answers—we are interested in your honest opinions. Participation is voluntary, and you may stop at any time.

Q02
Multiple Choice

Which of the following best describes your primary learning goal this term?

  • Build foundational knowledge in a new subject area
  • Deepen expertise in my current field
  • Develop practical or technical skills
  • Prepare for a certification, exam, or credential
  • Explore career options or transition to a new field
  • Fulfill program or degree requirements
  • Personal enrichment or intellectual curiosity
  • Other (please specify)
Q03
Opinion Scale

Overall, how well does the current curriculum meet your learning needs?

Scale: 17
Min:Does not meet my needs at allMax:Fully meets my needs
Q04
Multiple Choice

Which of the following resources would you use if available? Select all that apply.

  • Practice problems with feedback
  • Example solutions or worked examples
  • Annotated readings
  • Short video explainers
  • Live study sessions
  • Discussion forums
  • Templates or checklists
  • Accessibility supports (e.g., captions, readable PDFs)
Q05
Opinion Scale

Overall, how satisfied are you with your learning experience this term?

Scale: 17
Min:Not at all satisfiedMax:Extremely satisfied
Q06
Multiple Choice

What is your current study status?

  • Full-time student
  • Part-time student
  • Not enrolled in a formal program
Q07
Message

Thank you for your time—your input will directly help us improve curriculum and learning support. You may now close this page.

Q08
Multiple Choice

How do you prefer to learn new material? Select up to 3 methods.

  • Lectures or talks
  • Hands-on projects
  • Readings
  • Group discussions
  • Short videos
  • Self-paced modules
  • Tutoring or office hours
  • Interactive simulations
Q09
Long Text

Which specific topics, if any, are missing or need more depth in the current curriculum?

Q10
Multiple Choice

What barriers, if any, limit your use of learning resources? Select all that apply.

  • Time constraints
  • Internet or device access
  • Unclear relevance of resources
  • Resources are too long or dense
  • Scheduling conflicts
  • Cost or paywalls
  • Accessibility issues
  • I do not face barriers
Q11
Opinion Scale

How urgent is it to improve support for your learning needs in the next 4 weeks?

Scale: 17
Min:Not at all urgentMax:Extremely urgent
Q12
Multiple Choice

What is your current employment status?

  • Employed full-time
  • Employed part-time
  • Self-employed
  • Not employed
  • Prefer not to say
Q13
Dropdown

In the next 4 weeks, approximately how many hours per week can you spend on coursework outside of class?

  • 0–2 hours
  • 3–5 hours
  • 6–10 hours
  • 11–15 hours
  • 16–20 hours
  • More than 20 hours
Q14
Ranking

Rank the following development areas by how important they are for your growth in the next 2–3 months (1 = most important).

  1. Critical thinking and problem-solving
  2. Technical or digital skills
  3. Written and oral communication
  4. Research and analytical methods
  5. Collaboration and teamwork
  6. Subject-specific knowledge
Drag to rank
Q15
Dropdown

What is your preferred channel for getting help with coursework?

  • In-person office hours
  • Email
  • LMS discussion board
  • Chat app (e.g., Slack, Teams)
  • Tutoring center
  • Scheduled study group
  • Video call
  • Chatbot or AI tutor
Q16
Long Text

If we could make one change immediately to better support your learning, what would it be?

Q17
Dropdown

What is your age group?

  • Under 18
  • 18–24
  • 25–34
  • 35–44
  • 45–54
  • 55–64
  • 65+
  • Prefer not to say
Q18
Ranking

Rank the following assessment formats by how helpful they are for your learning (1 = most helpful).

  1. Projects
  2. Quizzes or exams
  3. Presentations
  4. Reflections or journals
  5. Labs, simulations, or peer review
Drag to rank
Q19
Ranking

Rank the following support areas by how much you need them in the next month (1 = most needed).

  1. Instructor feedback
  2. Practice materials
  3. Peer support and community
  4. Study skills coaching
  5. Career guidance
  6. Technology and tools access
Drag to rank
Q20
AI Interview

We'd like to understand your learning priorities in a bit more depth. Please share what matters most to you right now in terms of your learning and development.

Q21
Multiple Choice

What is your gender identity?

  • Woman
  • Man
  • Non-binary
  • Prefer to self-describe
  • Prefer not to say
Q22
Long Text

Based on your responses in this survey, is there anything else you would like us to know about your learning needs or circumstances?

Q23
Dropdown

What is the highest level of education you have completed?

  • Secondary / High school
  • Vocational / Technical
  • Some college / In progress
  • Associate degree
  • Bachelor's degree
  • Postgraduate (Master's / Doctorate)
  • Other
  • Prefer not to say
Q24
Dropdown

In which region are you currently located?

  • Africa
  • Asia
  • Europe
  • Latin America and Caribbean
  • Middle East
  • North America
  • Oceania
  • Prefer not to say

What’s included

  • AI follow-ups

    Adaptive probes on open-ended answers that pull out detail a static form would miss.

  • Attention checks

    Built-in safeguards against rushed answers and low-quality respondents.

  • AI-drafted copy

    Wording, ordering, and branching written by the AI — tuned to your research goal.

  • Auto report

    Themes, quotes, and a plain-English summary write themselves once responses come in.

How it compares

We reviewed the closest templates from other survey tools. Here’s what they do well — and where this template goes further.

Why this template

  • Includes an AI follow-up interview segment that lets learners elaborate on their priorities in their own words, going beyond fixed-choice questions
  • Combines ranking, opinion-scale, and dropdown questions to quantify curriculum gaps, satisfaction, and urgency in one flow
  • Two open-text prompts capture specific missing topics and a single highest-impact change, giving qualitative depth static forms miss
  • Automated report generation and per-response quality scoring turn responses into actionable program-improvement insights without manual coding

Jotform

Needs Assessments Survey Form Template

This is a generic, fielding-ready needs-assessment form rather than one built specifically for curriculum or learner-support gaps. It's a solid starting point for basic data collection but relies entirely on fixed question types with no learning-context specialization. Teams would need to heavily customize it to capture curriculum priorities, support barriers, or urgency the way an education-specific instrument would.

What it does well

  • Drag-and-drop form builder makes it fast to customize field types and branding
  • Free-to-start template lowers barrier to quickly launch a basic needs survey
  • Integrates with Jotform's broader form ecosystem (payments, workflows, notifications)

Where it falls short

  • Static question set with no adaptive AI follow-up to probe vague or interesting answers
  • No built-in voice AI interview option or guided screen-share tasks for richer learner input
  • No automated per-response quality scoring or auto-generated insight reports; analysis is manual

Ready to launch?

Open this template in the editor. Every part is yours to change before the first respondent sees it.

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