E-Advising Questionnaire


Please answer each of the following questions so that the e-adviser may respond to your request to take e-Learning courses. The e-adviser will contact you regarding these classes and your progress in achieving your degree.

  1. Please provide the following contact information:

     Full Name:
    Date of Birth:
    GCCC ID#:
    Major:
    Full-time or Part-time Student?
    Highest degree  you plan on achieving?
    E-mail:
  2. Enter the course numbers of the courses you wish to take in the space provided (separate multiple courses by a comma).


  3. Number of hours per week you are currently working:

    0 - 10
    11 - 20
    21 - 30
    31 - 45
    46 - 60

  4. Identify your level of accessibility to the Internet:

    I have high speed (DSL or Cable) access at my home
    I have dial-up access at my home
    I use a neighbor's computer
    I use a computer at the public library
    I use a computer in a GCCC computer lab or the campus library
    I have a laptop but must connect to the Internet at a hot spot
    I do not have access to the Internet

  5. Identify your technological comfort level:

    I use the Internet, instant messaging and word processing daily
    I can navigate the Internet and use e-mail comfortably
    I have used the Internet but do not feel comfortable with it
    I have never used the Internet and do not have e-mail

  6. I have experience using the following technologies:

    Word                  Excel                 Access                PowerPoint          
    Angel                 Blackboard            Desire to Learn       Instant Messaging   
    Text Messaging        E-Mail                I-Pod                 Video Capture       
    PhotoShop             USB Port              Thumb or Flash Drive  
  7. My need to take this course now is:

    High, I need it immediately for a specific goal
    Moderate, I could take it on campus
    Low, it could be postponed

  8. Feeling that I am part of a class is:

    Not particularly necessary to me
    Somewhat important to me
    Very important to me

  9. I would classify myself as someone who:

    Often gets things done ahead of time
    Needs reminding to get things done on time
    Puts things off until the last minute or doesn't complete them

  10. Classroom discussion is:

    Rarely helpful to me
    Sometimes helpful to me
    Almost always helpful to me

  11. When an instructor hands out directions for an assignment, I prefer:

    Figuring out the instructions myself
    Trying them on my own, asking for help when necessary
    Having the instructions explained to me

  12. I need faculty comments on my assignments:

    Within a few weeks so I can review what I did
    Within a few days or I forget what I did
    Right away or I get very frustrated

  13. Considering my professional and personal schedule, the amount of time I have to work on a distance-learning course is:

    More than enough for an on-campus course
    The same as for an on-campus course
    Less than for an on-campus course

  14. Coming to campus on a regular schedule is:

    Extremely difficult for me; I have commitments during class time
    A little difficult, but I can arrange to be on campus regularly
    Easy for me

  15. As a reader, I would classify myself as:

    Good, I usually understand the text without help
    Average, I sometimes need help to understand the text
    Slower than average

  16. When I need help understanding the subject:

    I am comfortable approaching an instructor to ask questions
    I am uncomfortable approaching an instructor, but do it anyway
    I never approach an instructor to admit I don't understand

  17. My favorite type of class would have me:

    Watching a performance
    Doing the activity myself
    Hearing a lecture

  18. When I'm in a face-to-face class of about 20 people:

    I always participate in classroom discussion
    I may participate in classroom discussion once in a while
    I try to avoid participating in classroom discussion

  19. When I'm asked to use DVDs, computers, voice mail, or other technologies new to me:

    I immediately try out the new tool
    I try to read all the instructions before I start using it
    I prefer to have someone right there with me when I use it

  20. How do you prefer to spend class time?

    Working independently on my own projects
    Listening to lecture and taking notes
    Working in small groups of two or three other students

  21. How do you like to learn about new ideas?

    On my own, reflecting on the information previously given
    In a small group, where we can share ideas together
    Working on a hands-on activity in a face-to-face class


Lavender.
Copyright © 2003 [Gulf Coast Community College]. All rights reserved.
Revised: 11/13/08