Name
Site
Telephone
E-mail

(1) Do you have a computer at home?  Yes     No 

(2) If you do not have a computer at home, do you know how to use one?    Yes     No 

(3) If you have a computer or if you use one, what programs do you use?

 

(4) What work do you produce with the programs you use?

(5) How much experience do you have with computers? Select one response:

 Beginner Intermediate User  Advanced User

(6) What would you like to be able to do with computers?