“Appendix” in “Teaching in Blended Learning Environments”
APPENDIX
Blended learning course:
Introductory survey question examples
The purpose of this survey is to provide us with a shared understanding of our backgrounds, computer experience, goals, and expectations for this blended learning course.
1. Gender
Female
Male
2. Age
15–19
20–25
26–30
31 plus
3. Employment status
I have a full-time job.
I have a part-time job.
I am not presently working.
4. Previous experience with digital technology tools and applications. Please select as many items as applicable.
I own a SMART phone (e.g., cell phone with Internet access).
I have a blog.
I have a Twitter account.
I have a Facebook account.
I have a YouTube account.
I have a Second Life account.
I have my own laptop.
5. Personal rating of computer skills
Novice (not really comfortable using computers)
Intermediate (comfortable using a computer)
Advanced (have developed some expertise and enjoy using a computer)
6. Home Internet access
Yes
No
7. Course goals
What are your goals for this course? What do you want to take away from this blended learning course experience?
What do you expect will happen during the weekly class sessions? What will the instructor do in class and what will you do?
9. Outside of class work expectations
What type of work do you expect to do outside of the classroom for this course, if any?
10. Assessment of learning
How do you think your learning in this course will be assessed?
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