Universityhouse Survey
The Universityhouse appreciates the time you are taking to complete our survey. Thank you for helping us to serve you better!
How did you hear about the Universityhouse Channel?
Other:
Who Are You?
Are You Male Female
Your Age Group
Employment
What type of work do you do?
Other:
Your Educational Background
Where do you watch the Universityhouse Channel? At Home At Work At School
Other:
Where do you reside?
When would you prefer to take classes?
In which time zone do you reside?
How Can We Help You?
What educational services do you need?
Home Schooling Elementary Ed Secondary Ed
Undergraduate Degree Program
Graduate Degree Program
Certificate Programs: Credit, Non-Credit
Continuing Education Units (CEUs)
Type of accreditation needed:
Personal Enrichment Programs
Other:
What courses or academic areas for Home Schooling, Elementary, or Secondary interest you?
In the "Courses or Academic Areas" field to the right, please enter items like, "Mathematics, English, Health, Language: Spanish," etc. Seperate multiple items with a comma, e.g., as shown in quotation marks in the prior sentence. Courses or Academic Areas:
Kindergarten
Grades 1-2
Grades 3-4
Grades 5-6
Grades 7-8
HS 9-10
HS 11-12
What courses or academic areas for College or University interest you?
In the "Courses or Academic Areas" field to the right, please enter items like, "Humanities, Construction Management, Political Science, Elementary Education," etc. Seperate multiple items with a comma, e.g., as shown in quotation marks in the prior sentence. Courses or Academic Areas:
Your choice of delivery method and your experience. Please tell us your choice of delivery method and your experience with the following: (please rate your experience on a scale of 1 to 5 with 1 being lowest and 5 being the highest). Choice = the method you would prefer in taking your course; Experience = if you have had experience with any or all of the methods of delivery listed.
Area Choice Experience
Television
Web-based (Internet delivery)
Integrated TV and Web
If you would like to be on our mailing list to receive information about upcoming programs, please provide The Universityhouse Channel with the following information:
Your privacy matters to us! The information you provide below will only be used for our Universityhouse mailing list.
Name
Address
City, State, ZIP
E-Mail Address
Phone
Suggestions you would like to make to Universityhouse:
 
 


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