1] What best describes your level of technology expertise?

I'm very uncomfortable using technology.

I'm fairly uncomfortable using technology.
I'm fairly comfortable using technology.
I'm very comfortable using technology.

2] Please enter the name of your institution:

3] What school levels do your programs cover?

Mark with an X for all that apply.
Preschool
Primary school
Lower secondary - Compulsory School
Upper secondary
Other

4] What subjects are your clients prepared to learn?

Mark with an X for all that apply.
Mathematics

National language
Foreign language (please specify) :

Social studies (please specify) :

Science (please specify) :

ICT

Other (please specify) :

5] Upon completion, what will be often to graduates?

Diploma Degree Certificate

6] Does the institution apply technical measures (such as filtering) to prevent access to certain content?
Yes/No/Other

7] Gender
Male or Female

8] Your Age
Numerical Characters Only

9] Do you own a computer? Do you have access to a computer?

Yes or No Yes Or No

10] How much time do you plan to devote to your online class?
Hours Per Week