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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.
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Learner Needs Assessment: Curriculum & Support Priorities
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.
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Sample questions
A preview of what’s in the template. Every question is editable before you launch.
22 questions · ~11 min
Q01
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)
Q02
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
Q03
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
Q04
Opinion Scale
Overall, how well does the current curriculum meet your learning needs?
Scale: 1 – 7
Min:Does not meet my needs at allMax:Fully meets my needs
Q05
Long Text
Which specific topics, if any, are missing or need more depth in the current curriculum?
Q06
Ranking
Rank the following development areas by how important they are for your growth in the next 2–3 months (1 = most important).
- Critical thinking and problem-solving
- Technical or digital skills
- Written and oral communication
- Research and analytical methods
- Collaboration and teamwork
- Subject-specific knowledge
Drag to rank
Q07
Ranking
Rank the following assessment formats by how helpful they are for your learning (1 = most helpful).
- Projects
- Quizzes or exams
- Presentations
- Reflections or journals
- Labs, simulations, or peer review
Drag to rank
Q08
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)
Q09
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
Q10
Dropdown
What is your preferred channel for getting help with coursework?
- In-person office hours
- LMS discussion board
- Chat app (e.g., Slack, Teams)
- Tutoring center
- Scheduled study group
- Video call
- Chatbot or AI tutor
Q11
Ranking
Rank the following support areas by how much you need them in the next month (1 = most needed).
- Instructor feedback
- Practice materials
- Peer support and community
- Study skills coaching
- Career guidance
- Technology and tools access
Drag to rank
Q12
Opinion Scale
Overall, how satisfied are you with your learning experience this term?
Scale: 1 – 7
Min:Not at all satisfiedMax:Extremely satisfied
Q13
Opinion Scale
How urgent is it to improve support for your learning needs in the next 4 weeks?
Scale: 1 – 7
Min:Not at all urgentMax:Extremely urgent
Q14
Long Text
If we could make one change immediately to better support your learning, what would it be?
Q15
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.
Q16
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?
Q17
Multiple Choice
What is your current study status?
- Full-time student
- Part-time student
- Not enrolled in a formal program
Q18
Multiple Choice
What is your current employment status?
- Employed full-time
- Employed part-time
- Self-employed
- Not employed
- Prefer not to say
Q19
Dropdown
What is your age group?
- Under 18
- 18–24
- 25–34
- 35–44
- 45–54
- 55–64
- 65+
- Prefer not to say
Q20
Multiple Choice
What is your gender identity?
- Woman
- Man
- Non-binary
- Prefer to self-describe
- Prefer not to say
Q21
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
Q22
Dropdown
In which region are you currently located?
- Africa
- Asia
- Europe
- Latin America and Caribbean
- Middle East
- North America
- Oceania
- Prefer not to say
Message
Thank you for your time—your input will directly help us improve curriculum and learning support. You may now close this page.
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 TemplateThis 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
Frequently asked questions
What questions are in the “Learner Needs Assessment: Curriculum & Support Priorities” template?
The template includes 22 ready-to-use questions, starting with: “Which of the following best describes your primary learning goal this term?” · “How do you prefer to learn new material? Select up to 3 methods.” · “In the next 4 weeks, approximately how many hours per week can you spend on coursework outside of class?”. The full set is previewed above, and every question is editable.
How long does this survey take to complete?
Respondents typically finish the 22 questions in about 11 minutes.
Can I customize this template?
Yes — every question, answer option, and the ordering is editable before you launch. You can add or remove questions, or ask the AI editor to rework the survey around your research goal.
Is this template free to use?
Yes. Open it in the editor and start customizing right away — no account required to try it, and the free plan covers launching your survey.
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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