Yes No
Carla Piper,Graduate Student
Name: ___________________________________________________
Course: __________________________________________________
Date: ____________________
Year in College: ____________
1. Do you have access to a computer where you live?
Yes No
2. What type of computer do you use?
3. Does your computer have a modem or network connection?
Yes No
4. How long have you been using computers?
5. Age _____
6. Gender
Male Female
7. During a typical week, how much computer activity do you engage in?
8. Rate your attitude toward the computer on the following scale:
9. What are your reasons for using the computer? Check all boxes that apply and indicate the software you use for these purposes.
10. How often do you use each of the following? Circle appropriate answer.
Communication - E-Mail11. Optional Comments:Never Rarely Sometimes FrequentlyAccessing the World Wide WebNever Rarely Sometimes FrequentlyWord ProcessingNever Rarely Sometimes FrequentlySpreadsheet/DatabaseNever Rarely Sometimes FrequentlyGraphics/Multi-mediaNever Rarely Sometimes FrequentlyResearch and InformationNever Rarely Sometimes Frequently
Copyright 1999 by Carla Hagen Piper