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1st Technology Survey

Tools

Name:

A red asterisk (*) indicates required questions.

Tell me about the computer at your house:*

	We have a computer, it works and it IS connected to the Internet
	We have a computer, it works but it is NOT connected to the Internet
	We have a computer, but it currently does not work
	We do not have a computer

Tell me about YOUR use of the computer - Think about the one thing that you use it for the MOST:*

	I use it mostly to do school work
	I use it mostly to do research of my own interest, not related to school
	I use it mostly for social networking (Facebook, etc)
	I use it mostly for email
	I use it mostly to play games
	I use it mostly for OTHER reasons (please explain in next question)
	I do not have or do not use a computer at home

If you answered OTHER in question 2, please explain:

Please rate this statement: "I enjoy using computers":

1 2 3 4 5

Strongly agree Strongly disagree

Tell me about your use of a cellphone:*

	I have my own cellphone, with unlimited use
	I have my own cellphone, but the use is restricted
	I share a cellphone with one or more siblings
	I have use of a parent or family cellphone
	I have no cellphone access

Do you have a landline phone in your house?*
Yes

No

Tell me about your use of email:*

I have my own email account, with unlimited use

I have my own email account, but the use is restricted

I have use of a parent or family email

I have no email access

QUESTION UNRELATED TO TECHNOLOGY: Tell me about your involvement in Band / Chorus:*

I am in BOTH band and chorus

I am in BAND ONLY, not in chorus

I am in CHORUS ONLY, not in band

I am in NEITHER, band nor chorus

If you answered NEITHER in question #8, please respond below

I am not interested in band or chorus

I would like to be in BAND ONLY

I would like to be in CHORUS ONLY

I would like to be in BOTH band and chorus

Where do you live?*

I live in Anamosa

I live outside of Anamosa