All fields on this form are required.

Last Name:  
First Name:  

1. My technology access is best described as:  

2. What type of Internet access do you have?  

3. My experience with Blackboard, Moodle, Schoology or other online LMS systems:  

4. My technology skills are best described as:  

5. Face-to-face communication is:  

6. When I need help in class (or at home):  

7. The amount of uninterrupted time I have to devote to an online class is:  

8. I would describe my personal style as:  

9. When it comes to procrastination:  

10. My reading and writing abilities are:  

11. My critical thinking skills are best described as:  

12. Class discussions are:  

13. When it comes to learning:  

14. I am considering taking an online course because:  

15. I think an online class  

16. If I have problems with the course work or technology, I  

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