Course Pre-Survey Form

Course Pre-Survey Form
Please complete this Course Pre-Survey Form to help us understand your background and learning goals before the course begins.
Full Name
First NameLast Name
Email Address
example@example.com
Which of the following best describes your current experience level with this subject?
What are your main goals for taking this course?
Other
How confident do you feel about starting this course?
Preferred learning style
What challenges do you anticipate during this course?
How would you prefer to interact during the course?
Other
Please rate your comfort level with the following course activities:
Rows Not Comfortable Somewhat Comfortable Very Comfortable
Participating in discussions
Completing assignments
Asking questions
Working in groups
Is there anything else you would like us to know before the course begins?
Should be Empty:

Select theme:

Rows	Not Comfortable	Somewhat Comfortable	Very Comfortable
Participating in discussions
Completing assignments
Asking questions
Working in groups