I. Motivation Level
A. ____ Highly motivated, very organized, excellent time management skills.
B. ____ Motivated, can be organized, management time fairly well.
C. ____ Need prodding to get started, not very organized, have difficulty
            getting things done on time without significant prodding.

II. Reading
A. ____ Enjoy reading a wide variety of topics and from different sources;
            books, newspapers, magazines, journals, etc.
B. ____ Read on a regular basis, mostly light reading.
C. ____ Seldom read.

III. Technical Skills
A. ____ Proficient with the computer. Regularly use word processing, email,
            surf the net, upload and download files.
B. ____ Somewhat proficient with word processing, surfing the net, and
            emails.
C. ____ Not very proficient. Use email occasionally, have surfed the net, typing
            skills quite limited.

IV. Writing
A. ____ Excellent background in writing. Enjoy writing, have very good writing
            skills, like to communicate using this medium.
B. ____ Average writing skills. Can communicate effectively, but prefer oral
            communication.
C. ____ Limited background in writing. Write only when required. Do not like
            this medium for communication.

V. Class Setting
A. ____ Independent learner, can follow written instructions, like to study
            independently, prefer expressing views in writing over oral class
            comments.
B. ____ Like more oral communication with instructor and peer students. Like
            to have directions and assignments explained verbally. Can work
            independently, but like class discussions.
C. ____ Need classroom setting, need peers and instructor to motivate and
            keep me on task.

VI. Schedule
A. ____ Busy work and family schedule or distance does not allow attendance
            in regular classroom setting.
B. ____ Busy, but have time to attend campus classes if scheduled
            appropriately.
C. ____ Prefer and have the time to attend campus classes.

VII. Time Available for Homework
A. ____ Can schedule 15-20 hours per week for homework.
B. ____ Can schedule 8-15 hours per week for homework.
C. ____ Can schedule 1-5 hours per week for homework.