1. My need to take this course now is:

Please select an answer High ­ I need it immediately for a specific goal Moderate ­ I have other options in ways to take this course Low ­ It could be postponed

2. Feeling that I am part of a class is:

Please select an answer Not particularly necessary to me Somewhat important to me Very important to me

3. I would classify myself as someone who:

Please select an answer Often gets things done ahead of time Needs reminding to get things done on time Puts things off until the last minute or doesn't complete them

4. The amount of time I have to work on a distance-learning course is:

Please select an answer More than enough for an on-campus course The same as for a class held on campus Less than for a class held on campus

5. Coming to campus on a regular schedule is:

Please select an answer Extremely difficult for me A little difficult Easy for me

6. As a reader, I would classify myself as:

Please select an answer Good ­ I usually understand the text without help Average ­ I sometimes need help to understand the text Slower than average.

7. When I need help understanding the assignment:

Please select an answer I am comfortable approaching an instructor I am uncomfortable approaching an instructor, I never approach an instructor

8. I would classify myself as someone who:

Please select an answer Likes to try new things Is comfortable with new things after other people Prefer familiar surroundings

9. I expect to spend ____of study time each week per course:

Please select an answer 10-15 hours 5-10 hours Less than 5 hours

10. I am taking this class because I believe it will be:

Please select an answer More challenging than a traditional classroom course About the same as a traditional classroom course Easier than a traditional classroom course

11. The idea of being able to work/study at my own pace:

Please select an answer Appeals to me Is neither positive or negative to me Makes me worried I might not make the time

12. I am taking this class because:

Please select an answer The idea of working with technology really appeals to me It is a requirement for future goals I was unable to schedule a course on campus

13. I communicate most effectively:

Please select an answer Through writing Orally and through writing Orally

14. Classroom discussion is:

Please select an answer Sometimes helpful to me Almost always helpful to me Essentially helpful to me

15. I have an E-mail account and read and/or send messages:

Please select an answer Regularly (3 times a week) Occasionally (less than 3 times a week) I don't have an E-mail address

16. I need faculty comments on my assignments:

Please select an answer Within a few weeks, so I can review what I did Within a few days, or I forget what I did Right away, or I get very frustrated
17. The operating system that I will be using in this course is:

Please select an answer PC-Based Mac-Based Not sure

18. I have access to a computer with an Internet connection for a minimum of three hours per day:

Please select an answer Privately (home, work) Publicly (school, library) I have no access to a computer or to an Internet connection