Digital Needs Assessment
Complete this assessment so we can determine your digital needs and provide you with the training and support customized to your needs.
Name
*
First Name
Last Name
Email Address
*
Enter N/A if you don't have an email address.
Phone Number
*
Please enter a valid phone number.
What type of devices do you have at home? Select all that apply.
*
Smartphone
Tablet
Laptop
Desktop
None
How often do you use electronic devices at home?
*
Several times a day
Once a day
A couple of times a week
Can't remember
I don't use electronic devices at home.
How frequently do you check your email?
*
Several times a day
Once a day
A couple of times a week
Can't remember
I don't have an email address
How frequently do you use social media such as Facebook, Twitter, Snapchat, TikTok?
*
Several times a day
Once a day
A couple of times a week
Can't remember
I don't use social media.
How frequently do you use web browsers (Chrome, Internet Explorer/Microsoft Edge, Safari) to access the internet?
*
Several times a day
Once a day
A couple of times a week
Can't remember
Back
Next
Where do you go to use the Internet? Select all that you actually use.
*
Computer at home
Computer at school or learning center
Computer at work
Computer at library
Cell phone/tablet with WiFi at work/library etc.
Cell phone/tablet with WiFi using your cell plan
Other
How frequently do you use technology at work?
*
Several times a day
Once a day
A couple of times a week
Can't remember
I don't use technology at work
How comfortable are you with doing these things on a computer or laptop?
Turning a computer on and logging on.
*
I feel very confident.
I feel a bit nervous about it.
I'm not comfortable at all.
Using a mouse and keyboard.
*
I feel very confident.
I feel a bit nervous about it.
I'm not comfortable at all.
Using the internet.
*
I feel very confident.
I feel a bit nervous about it.
I'm not comfortable at all.
Navigating around a website
*
I feel very confident.
I feel a bit nervous about it.
I'm not comfortable at all.
Setting favorites or bookmarks on your web browser
*
I feel very confident.
I feel a bit nervous about it.
I'm not comfortable at all.
Using Google Search or other search engines
*
I feel very confident.
I feel a bit nervous about it.
I'm not comfortable at all.
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Next
What else do you use the internet for?
I use the internet to find out about events in my community.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I use the internet to connect with family and friends.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I use the internet for entertainment (YouTube, video games).
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I use the internet to search for job opportunities.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I use the internet to schedule telehealth appointments.
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Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
I know how to keep my information safe and secure online.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
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Next
Would you like to learn more about any of the previously mentioned resources?
*
Yes
No
If yes, which resources? Select all that apply.
*
Basic Computer Skills
Internet Skills
Using Email
Telehealth
Career Search
Other
Are you interested in attending a class on-campus?
*
Yes
No
Are you interested in a one-on-one/small group tutoring session?
*
Yes
No
Are you interested in using digital literacy online resources?
*
Yes
No
Submit
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