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 Name
Last Name
Email Address
*
example@example.com
Which of the following best describes your current experience level with this subject?
*
Beginner
Intermediate
Advanced
What are your main goals for taking this course?
Gain new skills
Improve current skills
Earn a certificate
Meet new people
Other
How confident do you feel about starting this course?
1
2
3
4
5
Preferred learning style
Visual (seeing)
Auditory (hearing)
Reading/Writing
Kinesthetic (doing)
Not sure
What challenges do you anticipate during this course?
How would you prefer to interact during the course?
Group discussions
One-on-one sessions
Online forums
Live chat
Other
Please rate your comfort level with the following course activities:
Rows
Not Comfortable
Somewhat Comfortable
Very Comfortable
Participating in discussions
1
2
3
Completing assignments
4
5
6
Asking questions
7
8
9
Working in groups
10
11
12
Is there anything else you would like us to know before the course begins?
Submit Survey
Should be Empty: