Student _______________________

Course ________________________

Distance Education places different demands on students than traditionally offered courses. Research has shown that certain kinds of students tend to succeed and certain kinds of students have difficulty in online courses. The following survey can help you decide if a distance education course is a good fit for you. Answer the survey as honestly as possible. A "poor" score will not affect your ability to take this course.

Circle the response that best applies to you.

1. My need to take this course now is:

a. High - I need to take this immediately for my major.
b. Moderate - I have to take this course sooner or later.
c. Low - I don't need to take this course for my degree.

2. I would classify myself as someone who:

a. Often gets things done ahead of time.
b. Needs reminding to get things done on time.
c. Puts things off until the last minute or doesn't complete

3. Classroom discussion is:

a. Not very helpful to me.
b. Sometimes helpful to me.
c. Very helpful and important to me.

4. When an instructor gives directions for an assignment, I usually

a. Can follow the instructions on my own.
b. Try to follow the directions myself, and then ask for help if needed.
c. Need someone to explain them to me.

5. Feeling that I am part of a class is

a. Not very important to me.
b. Somewhat important to me.
c. Very important to me.

6 I like to have my instructor's comments on my work

a. Usually when I am finished with an assignment.
b. Right after I complete it to make sure I did it right.
c. Usually while I'm working because I need to know I'm following the directions.

7. As a writer, I am

a. Comfortable communicating my thoughts and ideas.
b. OK, but sometimes I need help to make sure I am writing clearly.
c. Not very comfortable.

8. Coming to campus on a regular schedule is

a. Difficult for me because of work and/or family.
b. Somewhat difficult, but I can arrange to come to class almost every day.
c. No problem for me.

9. As a reader, I am

a. Good. I understand most things that I read.
b. Average. Sometimes I have a little trouble understanding things.
c. Poor. Sometimes I need to read things a couple of times to really understand them.

10. When I need help understanding a subject

a. I feel comfortable approaching an instructor to ask for clarification.
b. I am uncomfortable approaching an instructor, but I do it anyway.
c. I never approach an instructor because I don't want to admit I don't understand something.