SAN JOSE DIGITAL INCLUSION ASSESSMENT
For San Jose residents only.
Welcome to the San José Digital Inclusion Partnership dedicated to helping you get connected at home to the Internet that is affordable & adequate, get low-cost to free devices, and basic digital training as needed. Please answer the following questions to help us assist you. Your answers are confidential.
Phone Number (###-###-####) Example: 408-600-0429
How did you hear about us?
Person Completing this intake
Page 1 of 12
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service