Technology Survey

Name

Phone Number

Email address

How comfortable are you with using modern technology? *

What are your main concerns regarding technology? (Select all that apply) *

Privacy and security

Keeping up with new technology

Online scams and fraud

Understanding how to use devices

Cost of technology

Other

If you selected "other" please list your concerns here

How often do you use the internet? *

Would you be interested in taking a technology class? *

What topics would you be interested in learning about in a technology class? (Select all that apply) *

Basic computer skills

Using smartphones and tablets

Internet safety and security

Social media

Online shopping

Video calling

Other

If you selected "other" please list your topics of interest here

What is your preferred method of learning? *

If you selected "other" please list your preferred leaning methods below

Do you have any additional comments or concerns regarding technology?

Which days of the week would you be available to attend a class? *

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

What times of day would you be available to attend a class? *

Morning

Afternoon

Evening

What is your age group? *