Information Survey

Student information and survey form
Name: 


  1. What is your nickname?


  1. What is your student number?


  1. What is your home phone number?


  1. What is your street address?
    example: 333 Pavilion Center
    Las Vegas, Nevada 89143


  1. What grade are you?
    9th
    10th
    11th
    12th
    Foreign Exchange Student


  1. How would you describe your computer knowledge?
    Fairly new to computers
    Some Knowledge
    Skilled user
    Advanced User


  1. Have you had computer fundamentals or another computer class at Palo Verde High School?
    Yes
    No


  1. Do you use a computer at home or work or other places outside of school?
    Yes
    No


  1. Would you to stay after school to get help with your computer skills if help was available?
    Yes
    No


  1. Are you employed before or after school?
    Yes
    No


  1. Do you plan to be involved in an extracurricular activity such as sports, band, theatre, clubs or cheerleading?
    Yes
    No


  1. If you have access to the internet at home which one of these internet service providers do you use?
    AOL, America On Line - Dial Up
    Cox Communications - Las Vegas Cable
    Sprint - DSL
    Another Dial Up Service
    Another Broadband Service


  1. Which Web browser do you prefer?
    Netscape
    Internet Explorer
    Opera
    Don't have a preference
    Don't use any


  1. Do you have an email address?
    Yes
    No


  1. What are your special interests, hobbies etc.?


  1. What kind of job do you think you would like to do after you complete your education, explain why?





Mrs. Gibson
Computer Teacher
Palo Verde H.S.
Las Vegas, NV