2001 Community Technology Survey Please complete this entire survey
What is your race / ethnic group? Black White Hispanic Asian Native American Other
What is your gender? Male Female
What is your postal zip code?
Do you have children? Yes No
Is your child's school internet connected? Yes No
Is your child's classroom internet connected? Yes No
What is your family household income? $0 - $15,000 $15,000 - $23,000 $23,000 - $30,000 $30,000 - $40,000 $40,000 - $50,000 $50,000 - $65,000 $65,000 - $80,000 $80,000 or more
What is your age? 18-25 26-35 36-45 46-60 60 and over
What is the education of the head of household? No Diploma HS Diploma/GED Some College Associate's Degree BA/BS - Undergrad MA/MS - Graduate JD/PhD/MD
Do you have local telephone service? Yes No
Do you have long distance service? Yes No
Do you have a cellular/digital phone? Yes No
Have you ever used a computer? Yes No
Do you own a computer? Yes No
Where do you use a computer? {To make multiple selection hold ctrl(pc) or hold shift(mac)} Home Work School Library Community Center Technology Center Other
What computer system do you use? PC Mac
Do you have a modem? Yes No
What speed is your modem? 14.4 K 28.8 K 56 K ISDN DSL Cable Modem T-1 / T-3
How often do you use a computer? Continuosly Daily Weekly Monthly Rarely
Do you use e-mail? Yes No
What is your e-mail address so that we may stay in contact with you?