Thriving in Place is conducting a citywide Community Needs Assessment survey to understand the technology barriers and needs of SF residents with disabilities and older adults (ages 60+) during COVID-19. Study results will be shared with the Department of Disability and Aging Services (DAS) and the Mayor’s Office on Disability (MOD) as part of COVID-19 Response in San Francisco.  

This survey gathers community input to inform the City’s approach to expanding access to Internet, devices, and digital literacy support needed for residents to get information, access services, have online health visits, connect with family and friends, and to participate in online activities. 

If you are a person with a disability, an older adult (60+), a transition-age youth (18-24), a veteran, a person experiencing homelessness, or a parent of a child with a disability, we want to learn from you!

If you would like assistance completing this survey, or would like to schedule a phone-based survey, please email DigitalEquity@TipSf.org or call 415-593-8129

For more information about Thriving in Place and the Technology Needs Assessment project, contact us at DigitalEquity@tipsf.org, or visit us online www.tipsf.org/digital-equity 

Privacy: Please note that this survey is completely voluntary and all information you provide will remain confidential. You are free to skip any question you do not wish to answer.

Complete this survey to be entered to win a $50 Gift Card!
SECTION 1: This first section asks about your access to devices (like computers, tablets or smartphones) and the Internet.

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* 1. What types of devices (like computers, tablets or smartphones) do you have access to? (Check all that apply)

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* 2. How do you access the Internet? (Check all that apply)

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* 3. If you currently do not have Internet, would you be interested in having it?

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* 4. Prior to COVID-19, did you use a public computer lab as your primary Internet source (like at a library, community center or other tech lab)?

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* 5. How has your need to use technology changed since COVID-19?

SECTION 2: This section asks about your access to services during the COVID-19 pandemic.

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* 6. What are the services that you have needed most during the COVID-19 pandemic? (Check all that apply)

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* 7. Was technology a barrier to accessing these services?

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* 8. What services have you not been able to receive, but have wanted to access? (Check all that apply).

SECTION 3: This section asks about any technology barriers or challenges that you’ve faced during the COVID-19 pandemic.

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* 9. What barriers or challenges have you faced in getting Internet? (Check all that apply):

SECTION 4: This section asks about your familiarity using the Internet and devices (like computers, tablets or smartphones).

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* 10. Please tell us how you use the Internet (Check all that apply):

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* 11. Do you have someone who can provide help if you have a question about how to use your computer (a family member, friend or service provider)?

SECTION 5: This section asks about how you’ve stayed connected to family, friends and online social activities and services during the COVID-19 pandemic.

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* 12. How do you get information about the services you need during COVID-19 (like information about vaccines, housing or food access) (Check all that apply):

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* 13. In the last year during COVID-19, have you participated in any online social activities (like virtual art classes, online events or group activities online)?

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* 14. Have you used video conferencing platforms like Zoom or Google Meet  to connect with others? (Check all that apply)

SECTION 6: This next section asks about your access to health information and services during the COVID-19 pandemic.

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* 15. During the COVID-19 pandemic have you missed any important medical appointments or delayed care or treatments?

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* 16. Have you received any healthcare or mental health services through appointments over the phone or video (telehealth) during COVID-19?

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* 17. What challenges do you have in accessing medical services using video or phone visits (telehealth)?

SECTION 7: This section asks about your use of Assistive or Adaptive Technology.

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* 18. Are you familiar with the term Assistive Technology? (Assistive Technology, or AT refers to the materials, equipment, tools, objects, or devices that allow individuals to live with greater independence)

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* 19. Do you currently use any Assistive Technology (like screen-readers, ZoomText, Braille displays, or accessible apps on your phone)?

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* 20. If you use Assistive or Adaptive Technology, are there any other services that you would like? (Check all that apply)

SECTION 8: This section invites you to share additional perspectives or thoughts.

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* 21. Is there anything else you would like to share about your challenges with technology during COVID-19?

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* 22. Please provide any suggestions or ideas you may have for technology programs or services for older adults, adults with disabilities or transition-age youth in San Francisco.

SECTION 9: Demographic Information 

In this section we are asking for you to share a few personal details so we can ensure that we learn from a broad diversity of San Francisco's disability and aging communities. Please remember that this survey is completely confidential.

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* 23. Please select the statement that best describes you. (Check all that apply)

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* 24. What best describes your race or ethnic identity?

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* 25. What is your preferred language?

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* 26. Do you identify as lesbian, gay, bisexual, transgender, queer or questioning, intersex, or asexual?

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* 27. What gender do you identify with?

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* 28. Have you ever served on active duty in the United States Armed Forces, National Guard or in a military reserve unit?

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* 29. What is your Age?

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* 30. What is your Current Annual Household Income before taxes?

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* 31. What type of residence do you live in?

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* 32. Zip Code (Enter 5-digit zip code. If experiencing homelessness, list 00000)

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* 33. We want to make sure we are reaching as many people as possible within San Francisco’s disability communities. Which of the following types of disability do you personally experience? (Check all that apply)

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* 34. What is your employment status? (Check all that apply)

Thank you for completing this survey!
Your responses are valuable, and we appreciate you sharing your thoughts and experiences. 

For more information about Thriving in Place and the Technology Needs Assessment project, contact us at DigitalEquity@tipsf.org, call 415-593-8129, or visit us online www.tipsf.org/digital-equity

Enter to win a $50 gift card! If you’re interested in participating in the raffle for a $50 gift card, please provide your name, email and phone number below. We will only use this information to contact you if you win the raffle. Winners will be notified by phone or email. A total of five (5) gift cards will be awarded.

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* 35. Contact Information (Optional)

0 of 35 answered
 

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