Technology Survey

Tell us how to get in touch with you (optional):

Name
E-mail

Age	65 and over 50-64 35-49 Under 35
Do you have a computer in your home?	Yes No
Are you a computer user?	Yes No
Do you have Internet access in your home?	Yes No
Do you currently use assistive software?	Yes No
Would you be interested in assistive computer training?	Yes No
Do you own a CCTV (video magnifier)?	Yes No
Would you be interested in learning how to use a CCTV (video Magnifier)?	Yes No
Do you have a cell phone?	Yes No
Do you currently use assistive software on your cell phone?	Yes No
Would you be interested in learning how to use an assistive software cell phone?	Yes No
Would you be interested in learning about assistive GPS technology to help you navigate while walking?	Yes No