Date:___________________

Name:___________________________________________________________________

Address:__________________________________________________________________

Home Phone______________  Work Phone______________ Fax____________________

E-mail Address_____________________________________________________________
 

1.  What are you getting your degree in and how does the Online classroom fit into that goal? __________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________

2.  What is your interest in computer conferencing?  __________________________________________________________________________
__________________________________________________________________________

3.  How many classes have you taken in instructional design or using technology in instruction? ___ Which ones?_____________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

4.  Have you had any exposure to computer mediated communication? If yes, tell me more about it.  _______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

5.  Why are you taking this class? _______________________________________________________________________________
_______________________________________________________________________________

6.  What do you hope to learn from the class? _______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________

7.   How do you feel about having computer conferencing as the learning environment of the class? ________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________

8.  Have you ever participated in using a computer mediated learning activity? If yes,  tell me about it (e.g., what types of activities did you participate, what type of technology, what type of software, how many students, what was your role, etc.). _________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

9.  Do you have any concerns about the class? What are they? _________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

10.  Do you have any special learning needs I should be aware of? _________________________________________________________________________________

12.  Is there anything else you would like to add?  _________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________

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