E.I. Course Enrollee Survey

Please Complete the Pre-Course Survey (10 Min or Less)

Name*
First Last
Email
Business Address*
Street Address Address Line 2 City State ZIP Code
Please select your gender:*
- Male
- Female
Please select your age group:*
Please select your number of years working at your company:*
What is your job title/role?*
Please select your number of years in your current position:*
On average how many hours a week do you work?*
Please select the highest level of education you have achieved:*
How comfortable are you with taking a course online?*
How much time a week do you have for this course?*
Please tell us what us what you hope to gain out of this course?*
For each of the following statements, please select the choice that best describes you:
Setbacks and obstacles don’t discourage me.*
Very much not like me Mostly not like me Somewhat not like me Somewhat like me Mostly like me Very much like me
I finish what I begin.*
Very much not like me Mostly not like me Somewhat not like me Somewhat like me Mostly like me Very much like me
Failure doesn’t define me. I can learn from my mistakes.*
Very much not like me Mostly not like me Somewhat not like me Somewhat like me Mostly like me Very much like me
When something is challenging, it just makes me want to work on it more, not less.*
Very much not like me Mostly not like me Somewhat not like me Somewhat like me Mostly like me Very much like me
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