This individual survey is intended to be printed, or copied into an email message. It is not an online form.
http://books.mcgraw-hill.com/training/elearning/elearning_survey.pdf is a survey that helps companies assess their readiness for elearning.

Name:

My "learning style" is primarily: (choose up to 3)
Visual/Textual (need to see it, read it)
Written (need to write it myself)
Auditory (need to hear it)
Spoken (need to speak it myself)
Kinesthetic (need to physically do it)

Additional comments on my learning style (optional):


In the following questions please circle one of the choices on the scale of agreement:

I have excellent organizational skills.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I am a very-self directed learner.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I tend to get things done ahead of time or on schedule, rather than waiting to the last minute.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I can figure out written instructions very well on my own.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I like learning about new technologies; they don't intimidate me.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I am a very comfortable and skilled reader.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I like engaging in written communication.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I can find at least 4 hours a week to devote to this course outside of class time.
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I am comfortable with multi-tasking (processing content on different topics at the same time).
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

I am comfortable with multi-processing (processing content on one topic from multiple modalities at the same time).
Agree -- Somewhat Agree -- Somewhat Disagree -- Disagree

How would you describe your communication style:
Talker -- More talker than listener -- More listener than talker -- Listener

I need instructor feedback on my assignments: (circle one)
Right away or else I get very frustrated
Within a few days, otherwise I forget what I did
Within a few weeks, so I can review how I did

I would describe my self-motivation as: (circle one)
I start work on my own and do not need supervision.
I work best when directed by someone else but proceed alone when necessary.
I need an outside influence to motivate me to start or complete tasks.

I would describe my ability to manage my time as follows: (circle one)
I prioritize and am able to devote adequate time to my commitments.
I have problems managing my time but generally get things done eventually.
I have a tendency to procrastinate and I'm not well organized.

I prefer working: (circle one)
independently
with a group

In working with a group, how would you describe yourself: (circle one)
leader -- sometimes a leader -- sometimes a follower -- follower

At home, my internet connection is: (circle one)
High Speed -- Dial up -- Nonexistent

At home, I can download and install programs on my computer: (circle one)
Yes -- No

What skills, competencies, theoretical understanding do you already possess for this class?:




What do you hope to learn, know, & be able to do from this class? What content do you want to study?
Are there any software tools or resources you want to learn about?




Any additional comments/concerns you would like to share about your participation in this class?