JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please rate your comfort level using an iPad.
*
No experience
1
2
3
4
5
Experienced
Please rate your comfort level using a smartphone.
*
No experience
1
2
3
4
5
Experienced
Please rate your comfort level using a laptop or desktop computer.
*
No experience
1
2
3
4
5
Experienced
Please rate your comfort level using a tablet.
*
No experience
1
2
3
4
5
Experienced
Do you have a personal device, such as a smart phone, tablet, laptop or desk top computer?
Yes
No
I am not sure
If yes, what type of device do you have?
Your answer
What essential skills would you like to learn or improve? Please select all that apply.
*
Library apps, including accessing eBooks and streaming video
Setting up a device
Creating email accounts
Sending emails, messages, or attachments
Creating social media accounts
Connecting with family and friends online
Job search assistance
Finding and accessing government and social agency websites and forms
Setting up points reward cards such as Scene or Optimum
Microsoft programs such as Word or Excel
How to scan and print
Device care and management
Troubleshooting
Navigating devices
Other:
Required
What are additional skills you would like to learn?
*
Take and edit pictures
Film and edit videos
Research and share family history
Create art
Finding apps related to my hobbies and interests
Other:
Required
What issues have you encountered when seeking help with devices and apps? Please check all that apply.
*
Remembering password used to set up a device or account
Two step verification or authentication
Account or device set up by someone else without instruction or explanation
Device is out of date
Screen or print is too small to see
Trainer goes too fast
Locating files
Terminology
Other:
Required
Do you have a preference for the time of day programs are held at the library? Check as many as apply.
*
Morning
Afternoon
Evening
Weekday
Weekend
Other:
Required
Which municipality are you located in?
*
Adelaide Metcalfe
Lucan Biddulph
Middlesex Centre
Newbury
North Middlesex
Southwest Middlesex
Strathroy-Caradoc
Thames Centre
Would you wish to be contacted if a training session becomes available in your area?
*
Yes
No
If the library offered mentor training, would you be interested in being a technology mentor to other seniors?
*
Yes
No
Please indicate your age range.
*
55-64
65-74
75+
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:
Your answer
Phone number
Your answer
Email address
Your answer
Please select all that apply:
Please enter me the draw
Please contact me if a technology training session becomes available in my area
Please contact me about being a mentor
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This content is neither created nor endorsed by Google.
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report