Request edit access
Roy Campanella Post Workshop Survey

Welcome to the Roy Campanella Post-Program Survey! This program is powered by Bridge with funding support from the LA County Supervisor 2nd District. Please note that the information provided in this survey will be used solely for evaluating the training program. Your personal information will remain confidential and will not be shared outside of Bridge or LA County.

Email *
Participant Information
To facilitate the distribution of Laptops upon completion of 8 hours of training (both in-person and virtual), we kindly request your email address and phone number.
If you are not interested in receiving this reward, please enter "N/A."
First and Last Name: *
Attendee Email
 *
Attendee Phone Number
 *
Zip Code *
How many hours of Bridge technology training have you completed? This includes in-person workshops, virtual webinars, one-on-one phone support, and self-guided learning done on your own time. *

How frequently do you use the following technological devices?

 *
Daily
Weekly
Monthly
Never
Computer
Tablet
Cellular Phone
Landline
For what purpose(s) do you use technological devices? Choose all that apply: *
Required

How much do you agree with the statements, I feel competent (able to):

 *
Not At All
A Little
Somewhat
Very Much
Searching And Finding Information About Goods & Services in Your Community
Obtaining Information from Local Public Authorities or Public Services
Seeking Health Information
Sending / Receiving Emails
Using Video Calls Such as Zoom, Google Meet, Or Facetime
Participating In Social Networks Like Facebook or Instagram
Please answer the questions below about your interaction with others. Thinking about your family, friends, or neighbors… *
None
1
2-3
4-5
6 or 6+
How many of them do you see face-to-face at least once a month (e.g., in person, virtually)?
How many of them do you communicate with on a personal level (e.g., by email, video chat, and/or internet) at least once a month?
How many of them do you feel close to on a personal level (e.g., could confide in or share personal feelings with)?
Thinking about the relationships you have with individuals or groups you are a part of, please rate how much you agree or disagree with the following statements… *
Strongly Disagree
Somewhat Disagree
Neither Agree nor Disagree
Somewhat Agree
Strongly Agree
Overall, I feel that my relationship is fulfilling
I feel like I just don't belong
I feel that I spend enough time involved in social activities
How likely are you to take part in an intergenerational activity again?
 *
Least likely
Most likely
How likely is it that you would recommend a Bridge  activity to your friend/family? *
Least likely
Most likely
How likely are you to continue to participate in the  Bridge  program?
 *
Least likely
Most likely
Why would or wouldn't you recommend the  Bridge  program?
 *
What would you like to see included in the  Bridge  program?
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of BRIDGE THE DIGITAL DIVIDE.

Does this form look suspicious? Report

Google Forms