Distance learning Survey Template

1. What is your age?

The answer should be a single choice:

1. Under 18
2. 18-24
3. 25-34
4. 35-44
5. 45-54
6. 55-64
7. 65 or older

2. What is your gender?

The answer should be a single choice:

1. Male
2. Female
3. Other
4. Prefer not to say

3. What is your highest level of education?

The answer should be a single choice:

1. Secondary school
2. Vocational or trade school
3. College or university (undergraduate)
4. College or university (graduate)

4. How long have you been participating in distance learning programs?

The answer should be a single choice:

1. Less than 6 months
2. 6-12 months
3. 1-2 years
4. More than 2 years

5. What was your primary reason for choosing distance learning over traditional classroom-based learning?

The answer should be a single choice:

1. Convenience
2. Flexibility
3. Cost

6. How satisfied are you with the quality of the materials provided for your distance learning program?

The answer should be a single choice:

1. Very satisfied
2. Somewhat satisfied
3. Neutral
4. Somewhat dissatisfied
5. Very dissatisfied

7. How satisfied are you with the level of support provided by your distance learning program?

The answer should be a single choice:

1. Very satisfied
2. Somewhat satisfied
3. Neutral
4. Somewhat dissatisfied
5. Very dissatisfied

8. Have you experienced any technical issues while participating in your distance learning program?

The answer should be a single choice:

1. Yes
2. No

9. If you answered "yes" to question 8, please specify the type of technical issue(s) you experienced:

The answer should be a multi line text input.

10. Overall, how satisfied are you with your distance learning experience?

The answer should be a single choice:

1. Very satisfied
2. Somewhat satisfied
3. Neutral
4. Somewhat dissatisfied
5. Very dissatisfied

11. What improvements do you think could be made to your distance learning program to enhance your learning experience?

The answer should be a multi line text input.

12. Are there any specific features or tools that you would like to see added to your distance learning program?

The answer should be a multi line text input.

13. Do you have any suggestions for improving the support provided by your distance learning program?

The answer should be a multi line text input.

14. Do you have any additional comments or feedback about your distance learning experience that you would like to share?

The answer should be a multi line text input.