Template: Pre-course Survey

  1. Please help me better understand your own working environment:

    1. Will you be on campus or in another location?

      • □ On campus
      • □ In another location

    2. What time zone will you be in for the beginning of the semester?

      • □ Eastern Time (US)
      • □ Central Time (US)
      • □ Mountain Time (US)
      • □ Pacific Time (US)
      • □ Other time zone

    3. If you answered “other time zone,” please clarify in which time zone and how many hours difference is it from Eastern Time (US).

      [short answer]

    4. Check all of the devices below to which you have reliable access for virtual learning.

      • □ Personal computer
      • □ Tablet computer
      • □ Smart phone
      • □ Webcam
      • □ Microphone (integrated in computer, webcam, or headset)
      • □ Other: _________

    5. Do you expect to have access to a reliable internet connection for the duration of this course?

      • □ Yes
      • □ No
      • □ Not sure

    6. Which best describes your internet speed?

      • □ Very fast (can stream HD videos)
      • □ Fast (can stream standard-definition videos)
      • □ Slow (difficulty streaming videos)
      • □ Very slow (can’t stream videos)

    7. In this class, we’ll make regular use of Zoom, Canvas, and Google Docs. Please rank your comfort with these tools (1 = uncomfortable; 5 = totally comfortable)

      • Zoom ____
      • Canvas ____
      • Google Docs ____

  2. What aspects of your working environment do you think will contribute to your ability to engage as a student?

    [short answer]

  3. What aspects of your working environment do you anticipate being an obstacle to your ability to engage as a student?

    [short answer]

  4. Why did you register for this class and what do you most hope to gain from it?

    [short answer]

  5. Given the learning goals of this class, what would make this class a success for you?

    [short answer]

  6. In this class, I plan to organize you into small study groups, which will meet independently once each week. Do you foresee any difficulties with this?

    [short answer]

  7. Is there anything else you can share with me that you think will help me design this course or that is relevant to your ability to fully engage in this class?

    [short answer]