Virtual College @ North Seattle Community College

 

Distance Learning Office

This questionnaire is for statistical purposes only and is treated as an anonymous survey. It is designed to help us determine demographic information regarding Distance Learning students in order to better serve their needs. Please complete this questionnaire before starting your course, then submit it electronically to the Distance Learning office. 

Distance Learning Office-CC1443
North Seattle Community College
9600 College Way North
Seattle WA 98103
Mail Stop 3NC1443

Course #

Select Quarter/Year:

1.  What is your gender?
Male   Female

2.  What is your age?
 
Under 20   20-24    25-29  30-34  
35-39  40-44  45-49 50 or above

3.  What is your ethnic origin?
 
Native American (including Alaskan Native)
  Asian (including Oriental, Pacific Islander and Filipino)   
  African American
  Hispanic
  White
  Other Race

4.  What is your employment status?
 
Not employed   Employed part-time    Employed full-time
  Self-employed   More than one job

5.  Is this your first quarter enrolled at  NSCC?   Yes   No 

6.  What is the highest level of education that you have completed?
 
Some high school   High school graduate    Some college
  Associate's Degree   Bachelor's Degree      Graduate Study

7.  How did you find out about this distance learning course?
 
Website / homepage   Quarterly schedule         At registration            
  Continuing Education schedule    Advisor   Flyer / brochure  

8.  Please select any of the following that were important  reasons for enrolling in a distance learning course (choose up to three reasons): 
 
Traditional sections closed
  Transportation concerns
  Child care concerns
  Illness / injury / disability
  Work schedule conflicts with traditional sections
  Preferred method of study
  Convenience
  Too far to come to campus

10.  How many credits are you taking (including distance learning courses)
this quarter?
 
1-3  4-6    7-9    10-12   13 or more

11.  How many distance courses are you taking this quarter?
 
1    2    3 or more

12.  Is this your first distance course?
 
Yes   No 

13.  Are you currently enrolled in any on campus courses as well as distance courses?
 
Yes   No

14  Are you taking a course that uses videos?
 
Yes  No

15.  If this distance course had not been offered, I would have:
 
Enrolled in another distance course
  Enrolled in an on-campus course
  Not enrolled in another course 

16.  What is your goal in attending college?
 
Seeking AA Degree  Working Toward Bachelor's Degree
  Professional Upgrading    Continuing Education units required by profession
  Personal Growth

17.  How far do you currently live from campus?
 
Less than 10 miles (Seattle area)
  10-40 miles (Puget Sound)
  Western Washington
  Eastern Washington
  Out of State
  Out of Country

18.  What is your zip code?
 
98103  98105    98112    98115   98117   98125 
  98155    98133    98177   other, greater Seattle area  other, not local

19.  With reference to your home computer capabilities:
 a. CPU
486 or less   Pentium    Other
 b. Drives Have CD ROM drive Have DVD drive
 c. Can play Audio/Video    Yes      No      Don't Know
 d. Internet connection 28.8k or less   56k    Have higher speed Internet Connection
 e. Operating system Win 95/98  2000,ME  XP or higher  MAC

20.  Additional Comments:
   

21.  Treat this survey as anonymous
              OR type in name here: 

 

 

 

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