Seniors Technology Skills Survey
Open to residents of Middlesex County who are 55 and older only.

Participants can choose to be entered in a draw for a $25 gift card of their choice. 
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Please rate your comfort level using an iPad. *
No experience
Experienced
Please rate your comfort level using a smartphone. *
No experience
Experienced
Please rate your comfort level using a laptop or desktop computer.  *
No experience
Experienced
Please rate your comfort level using a tablet. *
No experience
Experienced
Do you have a personal device, such as a smart phone, tablet, laptop or desk top computer?  
If yes, what type of device do you have? 
What essential skills would you like to learn or improve?   Please select all that apply. *
Required
What are additional skills you would like to learn?  *
Required
What issues have you encountered when seeking help with devices and apps?  Please check all that apply. *
Required
Do you have a preference for the time of day programs are held at the library?  Check as many as apply. *
Required
Which municipality are you located in?  *
Would you wish to be contacted if a training session becomes available in your area?  *
If the library offered mentor training, would you be interested in being a technology mentor to other seniors?  *
Please indicate your age range. *
If you would like to be entered in the draw for completing the survey or to be contacted with more information about technology programs, please put your contact information below.
Full name:
Phone number
Email address
Please select all that apply:
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