Tech Goes Home Pre-Training Survey Question Title * 1. First Name OK Question Title * 2. Last Name OK Question Title * 3. Email address OK Question Title * 4. Gender Female Male Non-binary / third gender Prefer not to say Prefer to self-describe (please specify) OK Question Title * 5. Date of Birth (MM/DD/YYYY) OK Question Title * 6. With which group do you most identify?You may select more than one option. Asian Black or African-American, Non-Hispanic Latinx Native American or Alaskan Native Native Hawaiian or Pacific Islander White, Non-Hispanic Other OK Question Title * 7. What is your age? 18-21 22-29 30-39 40-49 50-59 60-69 70-79 80-89 90+ OK Question Title * 8. What is your highest educational level? Grade 0-8 Grade 9-12 (Non-graduate) High school graduate or GED Some college/AA College graduate Post graduate OK Question Title * 9. What is your employment status? Part-time Full-time Unemployed Retired OK Question Title * 10. What is your approximate annual household income? Under $4,999 $5,000-$7,499 $7,500-$9,999 $10,000-$14,999 $15,000-$19,999 $20,000-$29,999 $30,000-$39,999 $40,000 or over OK Question Title * 11. How many members are in your household (including yourself)? OK Question Title * 12. Do you have school-aged children in your household? Yes No OK Question Title * 13. Have you participated in any Tech Goes Home class before? Yes No OK Question Title * 14. What is the main reason you decided to participate in Tech Goes Home? For the computer or tablet For the training To meet new people To get to know the resources and staff at this school/organization To help prepare my child for kindergarten To spend time learning with my child OK Question Title * 15. Which devices do you use at home?You may select more than one option. Desktop computer Laptop Tablet (iPad, Kindle Fire, LG Tablet, etc) Mobile phone None OK Question Title * 16. How many internet-capable devices do you have at home? None 1 2 3 4 5+ OK Question Title * 17. Which best describes your level of computer skills? Expert. I can troubleshoot problems myself and rarely (if ever) need help. Skilled. I use a computer frequently and do several things very well. I sometimes need assistance. Average. I regularly use technology at home or work, but I need help for new or unfamiliar tasks. Learning. I can do basic tasks, but I frequently need help for new ones. Beginner. I rarely use or have never used a computer. OK Question Title * 18. How do you access the Internet in your home?You may select more than one option. Home Wi-Fi Router or Network (Cable, DSL, Satellite, etc.) Personal Hotspot Mobile/Cellphone Data Plan I do not have access to the Internet OK Question Title * 19. If you have a home wi-fi router, what service do you use?Leave this question blank if none. EPB, full-price EPB EdConnect Comcast/X-finity Comcast Internet Essentials (reduced cost) AT&T AT&T Access (reduced cost) AT&T U-verse PCs for People / Mobile Beacon Provided through HUD or Public Housing Spectrum Bledsoe Telephone Cooperative I don't know Other (please specify) OK Question Title * 20. If you have a mobile data plan, which service do you use?Leave this question blank if none. AT&T Cricket Sprint T-Mobile Verizon I don't know Other (please specify) OK Question Title * 21. Have you ever changed or cancelled your Internet subscription (wi-fi or mobile data) because it was too expensive? Yes No I have never had an internet service OK Question Title * 22. Which type of Tech Goes Home class are you taking? Community (Adults 18+) School (parent with school-aged child) Early Childhood (parent with PreK child) Small Business / Artist HCDE Teacher Edition Early Learning Provider AAC Teacher / SLP Training OK Question Title * 23. I hereby give the unqualified right to the Tech Goes Home Chattanooga (TGH CHA) program to take pictures and/or video of our family. I give permission for these images as well as materials that we have created in the TGH CHA program to be used in print and web-based publications. The TGH CHA program will put these images to legitimate use without limitation or reservation. Yes No OK NEXT