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Student Technology Use Profile Survey
To assist the planning and development of technology instruction in our classroom please fill this form out honestly.
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* Indicates required question
What types of media do you use on a daily basis?
*
Check all that apply.
Television
Online media
DVD's
Other:
Required
What type of technology do you use daily?
*
Check all that apply.
Cell phone
Computer/Laptop
eReader
Gaming system - handheld or other
Television
DVD player
MP3
Handheld ipod/tablet/ipad/
Other:
Are you interested in texting you friends and family?
*
Not at all
1
2
3
4
5
Very much
Are you interesting in using technology for communicating with friends through sites like Facebook?
*
Not at all
1
2
3
4
5
Very much
Which way would you prefer to show what you know?
*
Computer created project such as power point
Written Essay/Report
Poster
Perform skit or song
Other:
Required
What areas of technology interest you?
Your answer
How would you like to see technology used in our classroom?
Your answer
Is there anything else you would like to share or ask about using technology in our school or classroom?
Your answer
How would you rate your ability to use technology?
Not comfortable with it.
1
2
3
4
5
6
7
8
9
10
Very comfortable using technology.
Clear selection
Do you have rules or limits for your use of technology at home?
"Technology" for this question refers to computers, hand held devices, television, etc...
Your answer
Name
Your answer
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