Online Learning Suitability Survey

Full Name*

First NameLast Name

E-mail*

My technology access is best described as:*

I have a computer with internet access.I have regular access to a computer with internet access.I do not have access to a computer.

My technology skills are:*

Advanced. I can use e-mail, web browsers, word-processing software and can download files and create attachments.Average. I can use e-mail, web browsers, and word-processing software.Basic. I have used e-mail, web-browsers, and word-processing software but get frustrated easily.

Face to Face Communication is:*

Not essential to me. I work well without face to face communication with the instructor.Important to me and I wonder about my ability to learn without being able to see the instructor or other students.Essential and I can't learn unless I can interact in person with the instructor and other students.

When I need help in class:*

I feel comfortable asking questions and asking for help when I need it.I hesitate to ask questions of the instructor, but I will ask for help if I need it.I don't like to ask questions or ask for help.

The amount of uninterrupted time I have to devote to an online class is:*

15 hours or more per week throughout the day.10-15 hours per week, mainly in the eveningsLess than 10 hours per week.

I would describe my personal style as:*

Self-motivated, self-disciplined, and organizedMotivated, but I need help remembering assignments and due dates.Pretty disorganized - I need someone to motivate me and help me stay on top of my coursework.

When it comes to procrastination:*

I rarely procrastinate.I sometimes procrastinate, but I always get my work in on time.I always procrastinate - I like to work under pressure.

My reading and writing abilities are: *

Proficient. I enjoy reading and writing and have confidence in my abilities.Developing. I read well, but struggle expressing myself in writing.Novice. I don't like reading and look for classes without a lot of writing assignments.

My critical thinking skills are:*

Proficient. I can analyze class materials and formulate opinions on what I've learned.Developing. I can sometimes analyze class materials and form opinions but it is a struggle for me.Novice. Analyzing material is not something I do well.

Class discussions are:*

Important to me and useful in helping me learn the information presented in class. I almost always participate in class discussions.Somewhat important to my learning. I sometimes participate in class discussions.Not very useful to me. I don't usually participate in class discussions.

When it comes to learning:*

I welcome opportunities to learn new things and master new technologies.I'm not the first to adopt new technologies, but I am willing to learn.I get very nervous around technology and would rather not try it.

I am considering taking an online course because. *

I've taken an online class before and enjoyed the experience.I'm curious about online classes and have room in my schedule.I need the class for a graduation requirement and can't fit it into my campus schedule.

Calculation