Classroom Technology: Teacher Experience and Knowledge

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1. Please tell us about the district you work in. (Identifying information may be volunteered, but is not necessary.)

Please tell us about the district you work in. (Identifying information may be volunteered, but is not necessary.)   Name:
Company:
Address:
Address 2:
City/Town:
State:	-- select state --AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming
ZIP:
Country:
Email Address:
Phone Number:

2. What is your position within the classroom?

What is your position within the classroom?   Lead Teacher Secondary Teacher Paraprofessional Specialist

3. If you are a specialist, what is your area of practice?

If you are a specialist, what is your area of practice?   Speech-Language Pathologist Physical Therapist Occupational Therapist	ABA Therapist Behavioral Therapist Vision Specialist	Counselor Psychologist Other
Other (please specify)

4. What types of disabilities do students present within your classroom?

What types of disabilities do students present within your classroom?   Autism (high functioning, Aspergers, PDD) Autism (moderate-severe) Autism (profound) ADHD/ADD Auditory Processing Disorder Deaf/Hard of Hearing	Blind Deaf-Blind Dyslexia Visuo-Spatial Disorders Dyscalculia Cerebral Palsy	Mental Retardation Down Syndrome Executive Function Disorders Traumatic Brain Injury Genetic Disorders
Other (please specify)

5. Which grade level(s) students and curricula do you work with?

Which grade level(s) students and curricula do you work with?   Preschool/Kindergarten 1st - 3rd grade 4th - 8th grade High School 9th - 12th	Vocational K-9 Vocational 9-12 Undergraduate Level (College) Graduate Level (College)	Adults ages 18-23 Adults ages 23+
Other (please specify)

6. What forms of technology or alternatives do you USE within your classroom to present information?

What forms of technology or alternatives do you USE within your classroom to present information?   Smart Board FM Systems Screen Readers Multi-Media Tools	Multi-Sensory Tools Internet Resources PowerPoint Braille	Pictures/Visual Representations Clickers/Survey Methods iTouch/iPhone/iPad
Other (please specify)

7. Are technologies made available that you do not use? Please list, and briefly explain hesitance for use (e.g., does not meet needs, not sure how to use, etc.)

Are technologies made available that you do not use? Please list, and briefly explain hesitance for use (e.g., does not meet needs, not sure how to use, etc.)

8. How often do you use or explore technology within the classroom?

Don't useI'm interested in how others use it, but don't use myselfI dabble from time to time, but don't stick with itI use the tools provided for me when necessaryI enjoy technology, but don't know how to operate most itemsI enjoy technology, but can't make it fit into my classroomI utilize technology most of the timeI utilize technology for all of my lessons

How often do you use or explore technology within the classroom?

Other (please specify)

9. How comfortable are you with technology?

Not at allPersonal use onlySomewhat comfortableLearningComfortable with helpVery comfortable

How comfortable are you with technology?

10. What sorts of technology do your students employ for classroom purposes on a regular basis?

What sorts of technology do your students employ for classroom purposes on a regular basis?   Internet Screen Readers (Kurzweil, etc.) Chat/Text Forums Sharing Sites (VoiceThread, Blogster, etc.)	Blogs Graphics & Design sites (Wordle, Jing, etc.) Text-to-Speech CAST UDL Tools (Book Builder, etc.) iPhone/iTouch/iPad Applications	Augmentative Communication Devices Eye Gaze tools Video Observational Learning Tactile Markers
Other (please specify)