Colorado Emergency Response Desktop - Engagement Form

Thank you for your interest in the Colorado Emergency Response Desktop. Please complete the following questions to obtain access to the software.

Question Title

* 1. What best describes your situation?

I am living with family

I had to move to another location because of Coronavirus (COVID-19) (ex. out of group or foster home)

I am in a supported living situation - living on my own

I am a member of Speaking for Ourselves Colorado or other self-advocacy organization

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* 2. What is your primary language?

English

Spanish

Other

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* 3. What is your race or ethnicity?

White or Caucasian

Black or African American

Hispanic or Latino

Asian or Asian American

American Indian or Alaska Native

Native Hawaiian or other Pacific Islander

Another race

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* 4. What is your zip code?

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* 5. How do you feel about using technology?

I am an expert

I am pretty comfortable

I do ok with technology

Not very comfortable with technology

I have a hard time with technology

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* 6. Do you have access to a computer any time you would like to use it?

Yes

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* 7. How much do you know about the Coronavirus (COVID-19)?

A great deal

A lot

A moderate amount

A little

None at all

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* 8. How often do you use email or meet with family or friends on video?

Every day

A few times a week

About once a week

A few times a month

Once a month

Less than once a month

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* 9. What is your email?
*An email is required to send you the download link for the Colorado Emergency Response Desktop as well as provide any needed updates.

Thank you for completing the engagement form. You will receive an email that will include a link to the Colorado Emergency Response Desktop within 48 hours. Please note that we will be providing weekly virtual technical assistance sessions to troubleshoot any challenges with the software as well as short tutorials every Wednesday at 3:00pm. If you have additional questions, please contact the Coleman Institute for Cognitive Disabilities at colemaninstitute@cu.edu

Colorado Emergency Response Desktop - Engagement Form

Question Title

* 1. What best describes your situation?

Question Title

* 2. What is your primary language?

Question Title

* 3. What is your race or ethnicity?

Question Title

* 4. What is your zip code?

Question Title

* 5. How do you feel about using technology?

Question Title

* 6. Do you have access to a computer any time you would like to use it?

Question Title

* 7. How much do you know about the Coronavirus (COVID-19)?

Question Title

* 8. How often do you use email or meet with family or friends on video?

Question Title

* 9. What is your email?*An email is required to send you the download link for the Colorado Emergency Response Desktop as well as provide any needed updates.

* 9. What is your email?
*An email is required to send you the download link for the Colorado Emergency Response Desktop as well as provide any needed updates.