Bear FormsNewcomer Everyday English Needs Form
This everyday English needs form is for people who have recently moved to an English-speaking country. It asks how long they've been here, their English level and the everyday situations they need help with.
Plans from $4/month · 30-day money-back guarantee
Try the form
This is the real form, the way a learner will see it. Fill it in and click through: nothing you type is sent or saved.
What's included
7 questions on one page. Every one can be edited, removed or reordered.
- Full name requiredShort answer
- Email requiredEmail
- Native languageShort answer
- How long have you lived here?Less than 3 months, 3–12 months, 1–2 years, More than 2 yearsPick one
- English level requiredBeginner, Elementary, Intermediate, Upper intermediate, AdvancedPick one
- Which situations do you want help with? requiredDoctor and pharmacy visits … Other (9 options)Pick any
- Anything coming up soon?Paragraph
Who it's for and when to use it
Use it with newcomers who need English for daily life right now: doctor and pharmacy visits, banking, renting a home, shopping, small talk with neighbors, job hunting, talking with their child's school and phone calls. These are real, urgent situations, and lessons built around them make a difference within weeks.
The form is short, seven questions on one page, and written in simple English. It asks how long the person has been here, not where they came from or about immigration status, so it collects only what you need to teach.
The last question asks about anything coming up soon, like a doctor's appointment or a job interview. That's your first lesson. For a broader start, use the adult English learner intake.
How to use it in 3 steps
Pick the template
Click Use this template, or choose “Newcomer English needs” under New form in Bear Forms. All the questions are already there.
Make it yours
Every question is ready to use as it is. Change, add or remove any of them to fit how you work.
Share the link
Publish, then send the link by email or text, put it in your Instagram bio or Google Business Profile, or paste two lines of code to show it on your website.
Tips for better responses
- Start with the next real situation. If someone has a doctor's appointment next week, practice that first. Immediate success builds confidence.
- Use real documents. Practice with real forms: a rental application, a bank form, a school letter. Ask learners to bring their own.
- Keep the form simple. Resist adding questions. For lower levels, fill it in together on a first call if needed.
- Work with community groups. Share the link with local newcomer centers, libraries and community organizations.
Make it your own
- Lower-level learners? Translate the question labels into the main languages of your learners.
- Speaking practice? Invite learners to a speaking group with the conversation club sign-up.
- Track progress? Use the monthly learner self-review after the first month.
Frequently asked questions
What English do newcomers need most?
Newcomers usually need English for urgent everyday situations first: doctor and pharmacy visits, banking, renting a home, shopping, school and job hunting. This form asks which of those matter to each learner, so lessons start with what they need this week.
Does the form ask about immigration status?
No. It asks only how long the learner has lived in the country, their level and the situations they need help with. It doesn't ask where they came from or about their status.
Can beginners fill in this form?
Most can, because the questions are short and mostly multiple choice. For true beginners, translate the labels or fill it in together on a first call.
Can community organizations use it?
Yes. Libraries, newcomer centers and volunteer programs can use it to understand learners' needs before matching them with a tutor or class.
Do I need any technical skills to use this template?
No. You change questions by clicking on them, and you can drag them into a new order. There's no code to write. If you can fill in a form, you can edit this one, and publishing it is one button.
How do I share the form with families?
Share it as a link or put it on your website. The link works anywhere: email, text messages, WhatsApp, your Instagram bio or your Google Business Profile. To show it on your own site, paste two lines of embed code and the form appears on the page.
Where do responses go?
Every response lands in your Bear Forms dashboard, in a table you can read at a glance, and you get an email alert as soon as it arrives. You can also export all responses to a CSV file that opens in Excel or Google Sheets.
Related templates
Adult English learner intake
Get to know a new adult learner: background, level, goals and when they can meet.
View template →English level self-assessment
Learners pick the "I can..." sentence that fits them for each skill, so you know their rough level before lesson one.
View template →Conversation club sign-up
Sign learners up for group speaking practice, matched by level, topics and times.
View template →Monthly learner self-review
A monthly check-in where learners rate each skill and reflect on wins, struggles and goals.
View template →Start with the newcomer english needs template
Help newcomers with the English they need this week, not someday.
Plans from $4/month · 30-day money-back guarantee