1. How often do you use a computer? Daily Weekly Monthly Rarely
   1. Rate your general computer skills ability: Novice Experienced Expert
   2. Approximate amount of time you have used a computer: months or years
      
2. Where do you access the Internet? check all that apply:
   Home   Office     Other:
   If you checked home access, how do you connect?
   Dialup (56K modem)   DSL   Cable     Other:
    
3. How often do you use word processing software? Daily Weekly Monthly Rarely
   Rate your ability in using word processing software: Novice Experienced Expert
    
4. How often do you use email? Daily Weekly Monthly Rarely
   Rate your ability in using email: Novice Experienced Expert
    
5. How often do you use the Internet? Daily Weekly Monthly Rarely
   Rate your ability in using a web browser: Novice Experienced Expert
   Approximate amount of time you have used the Internet: months or years
    
6. What is your experience with web-based courses? check all that apply:
   Have taught and/or developed a fully online web-based course
   Have taught and/or developed a face-to-face course with online components
   Have had some previous training or experience in how to teach online courses
   Have no previous training or experience in how to teach online courses
   Have participated in an online course as a student
    
7. What percentage of your course materials and content are already in electronic form? (e.g., in html or word processed) Select one:
   0% in electronic form 25% or less in electronic form 50% in electronic form 75% in electronic form 100% in electronic form
    
8. Do you currently have a web site? Yes No
   If yes, please give the url:
    
9. Please list 2 web sites in your subject area that you use as a resource:
   URL:
   URL:
   
10. Have you decided on a textbook? Yes No
    If yes, what is the name, author, and publisher?
     
11. Check the technologies you are comfortable using:
    Using the Internet for supplementary materials or course delivery
    Listserv
    Online discussion forums
    Synchronous chat programs (e.g. ICQ, IRC, Instant Messenger)
    
    Web page creation. What software do you use?
    Multimedia creation. (audio, video, animation, etc.) What do you use?
    Scripting languages (e.g. Javascript, Perl, PHP)
    Graphics editors What software do you use?
    Saving images in file formats (e.g., .gif, .jpeg)
    Using a scanner
    Using a digital camera
    Others, if any:
     
12. What technologies, software, or equipment do you anticipate needing to develop or deliver your online course?
    
     
13. What are your concerns in offering an online course?

Training in how to develop and teach an online course
will be provided during your development semester.