Student Skills Assessment for Online Courses

Name * First Last
Date / MM / DD YYYY
Please rate the amount of use for the items listed below according to the following scale:
Do you use the Internet * Never Almost never Monthly Weekly Daily
Overall computer use * Never Almost never Monthly Weekly Daily
Have you ever participated in Internet chat * Never Almost never Monthly Weekly Daily
I use the Internet search engines * Never Almost never Monthly Weekly Daily
I use email * Never Almost never Monthly Weekly Daily
I view multimedia presentations such as a QuickTime & Flash movies * Never Almost never Monthly Weekly Daily
I use computer-based CD ROMS * Never Almost never Monthly Weekly Daily
I use PC based word processing software such as Microsoft Word * Never Almost never Monthly Weekly Daily
I use presentation graph softwares such as Microsoft PowerPoint * Never Almost never Monthly Weekly Daily
Do you have reliable and regular access to a computer with Internet access, CD ROM, multimedia, and sound capability?
Reliable Computer Yes No
Are you familiar with installing new software * Yes No
Admissions Representative *