1.Which county do you reside or work in?

Somerset

Talbot

Wicomico

Worcester

2.Please select the age category below that best applies

18-29

30-44

45-54

55+

3.Community/town name

4.Do you have reliable internet access at home?

Yes

No

5.What devices do you regularly use? (Select All that apply)

Smartphone

Laptop

Tablet

Desktop Computer

6.How would you rate your digital skill level?

Beginner (need step-by-step support)

Basic (comfortable with email and simple apps)

Intermediate (comfortable with forms, portals, video calls)

Advanced

7.What digital skills training would be most helpful? (Select up to 5)

Basic computer skills

Smartphone/tablet

Online documentation/reporting systems

Telehealth platforms

Online safety & avoiding scams

Government benefit portals

Assistive technology tools

Communication tools (Zoom, Teams, etc.)

Productivity tools (Google Docs, Microsoft Office)

Data privacy & HIPAA basics

Supporting job search & employment tools

8.What are the biggest barriers to improving digital skills? (Select up to 3)

Cost of devices

Cost of internet

Lack of training opportunities

Transportation

Time constraints

Need for one-on-one support

Accessibility challenges

Low confidence

Not sure where to start

9.Preferred training format:

In-person group classes

One-on-one coaching

Virtual classes

Self-paced modules

Hybrid (mix of in-person & virtual)

10.What time of day works best?

Weekday daytime

Evenings

Weekends

Flexible

11.What primary outcome would you hope to see from digital skills training? (Choose one)

Greater independence

Increased employment opportunities

Better access to healthcare/telehealth

Improved communication with family/friends

educational opportunities

Professional development