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Since 1990


P.O. Box 947
San Leandro
California 94577

800.633.2248 or 510.562.8066
fax 510.562.4570

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Technology Use Survey
Name

Subject Teaching

Grade Level

Email


I. Do you have a computer at home? Yes No

  • If yes, what kind? PC/Clone Mac

    II. Help us plan for Technology Staff Development for you - please check all that apply:

  •  

    Never Used

    Use Occasionally

    Use Regularly

    Use with Students

    Can Teach

    Macintosh Computer

     

     

     

     

     

    PC or IBM Clone

     

     

     

     

     

    Word Processing

     

     

     

     

     

    Spreadsheets

     

     

     

     

     

    Databases

     

     

     

     

     

    Graphics/Art

     

     

     

     

     

    Email

     

     

     

     

     

    Internet

     

     

     

     

     

    Presentation Program

     

     

     

     

     

    Instructional TV

     

     

     

     

     

    Video Production

     

     

     

     

     

    Multimedia Programs

     

     

     

     

     

    Web Authoring

     

     

     

     

     

    Other:

     

     

     

     

     

    III. List technology you use:

     

    IV. List technology you would like training on:

     

    V. List any dreams/hopes/wishes you have for technology use in your classroom:

     

    VI. List any concerns or obstacles that may keep your dreams from happening:

     

    If you need to, you can write additional comments here:

     

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