Name

Email

1.  Do you feel at all uncomfortable on the Internet?

Yes
No

2. Do you have an email account and are you comfortable using it?

Yes
No

3. Can you copy and paste and switch between two open programs?

Yes
No

4. Have you ever filled out an interactive form (this is an example of an interactive form)?

Yes
No

5. Have you ever posted to a discussion group?

Yes
No

6. Have you ever sent an attachment, and could you do it again?

Yes
No

7. Do you know where the "reload" or "refresh" button is?

Yes
No

8.   Can you "bookmark" or set as a "favorite" your class home page?

Yes
No

9.  Do you know how to add someone to your address book?

Yes
No

10.  Do you know how to get a free email address?

Yes
No

Name

Email

Online courses are different than on campus courses. There are advantages and disadvantages to the online course format.  Please rate the following statements as they pertain to you, according to this scale:

1 -- this is not true
2 -- this is slightly true
3 -- this is sometimes true
4 -- this is usually true
5 -- this is always true

1.  I have difficulty attending on campus classes due to my work/home schedule.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

2.  I have difficulty creating a schedule and sticking to it.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

3.  I have a hard time using my computer without help.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

4.  I  would miss interacting with other students in the classroom.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

5.  I am uncomfortable speaking out in the classroom.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

6.  I like to write and feel I am good at writing.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

7.  I like to read and am able to accurately grasp concepts through reading.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

8.  I have a computer at home or can easily access one when necessary.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

9.  I need immediate feedback from an instructor in order to learn new concepts.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

10.  I know I can schedule adequate time for important dates such as midterms and finals.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

11.  I know I can schedule adequate time each week for study.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true

12. I have discussed the demands of my online courses with my family and friends and they are supportive of my decision to take online courses.

1 -- this is not true 2 -- this is slightly true 3 -- this is sometimes true 4 -- this is usually true 5 -- this is always true