2001 Community Technology Survey

Please complete this entire survey

What is your race / ethnic group?

What is your gender?

What is your postal zip code?

How large is your immediate family?

Do you have children?

Is your child's school internet connected?

Is your child's classroom internet connected?

What is your family household income?

What is your age?

What is the education of the head of household?

Do you have local telephone service?

Do you have long distance service?

Do you have a cellular/digital phone?

Have you ever used a computer?

Do you own a computer?

Where do you use a computer?
{To make multiple selection hold ctrl(pc) or hold shift(mac)}

What computer system do you use?

Do you have a modem?

What speed is your modem?

How often do you use a computer?

Do you use e-mail?

What is your e-mail address so that we may stay in contact with you?