Electronic Networks for Education

Spring 1996

Preliminary Questionnaire

Name:

Home address: Champaign/Urbana: 15; other downstate 8 (Charleston, Danville (2), Decatur (2), Peoria, Springfield, Valmeyer); northern Illinois 16 (Addison, Brookfield, Buffalo Grove (2), Chicago, Grayslake (2), Hoffman Estates, LaGrange, Marseilles, Naperville (2), Oak Lawn, Wheeling, West Chicago

Home phone:

School/university/business name:

Address:

Phone:

Grade level: Elementary (K-8): 18; Secondary (9-12): 10; Higher Ed: 10; Adult Ed: 3

Subject area:

Please circle the appropriate choice below:

My previous experience with computers: 0 none / 5 little / 18 some / 12 quite a bit / 5 lots

Previous experience with networks: 15 none / 7 little / 12 some / 3 quite a bit / 3 lots

Previous experience with email: 8 none / 7 little / 8 some / 9 quite a bit / 7 lots

Previous experience with newsgroups: 23 none / 6 little / 5 some / 2 quite a bit / 2 lots

Previous experience with Gopher: 25 none / 5 little / 7 some / 1 quite a bit / 1 lots

Previous experience with WWW: 22 none / 7 little / 4 some / 3 quite a bit / 3 lots

Other technology experiences:

What kind(s) of computers do you use: 21 Mac / 15 Windows 3.1 / 8 Windows 95

Version of system software:

Kind and speed of modem: 4 28.8K / 15 14.4K / 1 9600 / 3 2400

What do you want to learn from this class? (use the back if you need more space)