1. My need to take this course now is:

• high—I need it immediately for a job, degree or other reason
• moderate—I could take it later at a provider site or substitute another course
• low—it is not very important at this time

2. Having face-to-face interaction with my instructors and other students is:

• not particularly important to me
• somewhat important to me
• very important to me

3. I would classify myself as someone who:

• 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. Classroom discussion is:

• rarely helpful to me
• sometimes helpful to me
• almost always helpful to me

5. When an instructor hands out directions for an assignment, I prefer:

• figuring out the instructions myself
• trying to follow directions on my own but am willing to ask for help as needed
• having the instructions explained to me

6. I need faculty feedback on my assignments:

• 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 frustrated

7. Considering my professional and personal schedule, the amount of time I have to work on an online course is:

• more than for a course at a provider site
• the same as for a class at a provider site
• less than for a class at a provider site

8. Coming to a provider site on a regular basis for a class is:

• extremely difficult for me (because of work, family, or personal reasons)
• somewhat difficult, but I can probably rearrange priorities in order to attend
• not difficult

9. I would classify my reading ability as:

• good—I usually understand what I read without help
• average—I sometimes need help to understand what I read
• below average—I often need help to understand what I read

10. When I am asked to use technologies such as e-mail, the Internet, or new software:

• I look forward to learning new skills
• I feel apprehensive but try it anyway
• I put it off or try to avoid it