2. Your Occupation: City and State in which you live: City and State in which you work:
3. Age: Under 21 21-30 31-40 41-50 Over 50
4. Gender: Male Female
5. Highest Level of Education Completed: High School Degree Associate's Degree Bachelor's Degree Master's Degree Ph.D./Ed.D. Other
6. Your area of study/major: Are you currently studying toward a degree? Yes No
7. Do you have ready access to a computer where you study? Yes No
If yes, what type of computer? IBM PC Compatible Macintosh Other
Do you have a modem? Yes No
If yes, what speed (bps) is your modem? 2,400 4,800 9,600 14,400 28,800 Over 28,800 Don't know
8. How are you connected to the university computer system? Direct LAN connection Local call (to modem pool) Long distance call (to modem pool) Internet Service Provider (telnet using PPP or SLIP) Internet Service Provider (serial connection to menu)
9. What is your monthly connection cost? Under $10 $10 to $19.99 $20 to $29.99 $30 to $39.99 $40 to $49.99 $50 and over
10. Which of the following course expenses are paid by your employer? Tuition Books Other materials Release time Other (Please Specify):
11. What are your purposes for taking computer-based distance education courses? License or relicense Career promotion or advancement Improve job performance Learning/Education Value Other (Please Specify):
12. Please identify your level of skills in the following applications? Please rate the skills as follows:
13. Who do you contact for help with computer problems? (Please check all that apply). Instructor Friend Classmate Family Member University Expert Vendor/Publisher Other (Please specify).
14. Please answer the following questions concerning the most recent computer-based course you have taken at the university level. Did you receive adequate documentation for the utilization of computer applications from the university where you are taking computer-based courses? Yes No
Did you have any computer experience before you took a university-level computer-based course? Yes No
Was this the first computer-based course you have taken? Yes No
Do you plan to enroll in more computer-based distance learning courses at the university level? Yes No
Would you recommend computer-based courses to others? Yes No
Have you enrolled in any on-campus courses? Yes No
Do you think it worthwile to take distance learning courses by computer only? Yes No
Do you have interaction with classmates by computer? Yes No
Do you share ideas and problems with classmates by computer? Yes No
Do you have group projects or discussions with other classmates by computer? Yes No
15. Please answer the following items by checking the appropriate box. How do you rate the documentation for accessing computer resourses that the university gave you? Excellent Good Fair Poor Not acceptable How do you rate your instructor's availability via the computer? Excellent Good Fair Poor Not acceptable How do you rate your instructor's comptency in helping you with computer-related questions in this course? Excellent Good Fair Poor Not acceptable How do you rate the university support provided in cases of unexpected technical problems? Excellent Good Fair Poor Not acceptable How do you rate the Internet provider's support in cases of communications problems? Excellent Good Fair Poor Not acceptable How do you rate the content and materials of the course? Excellent Good Fair Poor Not acceptable How do you rate the overall system of computer-based distance learning based on your experience? Excellent Good Fair Poor Not acceptable 16. What are your main concerns in computer-based distance education? Please rate the concerns as follows:
17. What do you see as major advantages of computer-based classes in Indiana? Please rate the advantages as follows:
18. Additional comments:
