TechSocial - Participant Interest Form
Through TechSocial, we’re on a mission to bridge the gap between generations by teaching older adults' digital literacy. Our program offers online classes, tutorials, and support from experienced mentors to help seniors learn how to navigate technology and stay connected with their loved ones. With TechSocial, seniors are better able to interact with their families, manage their finances, access digital services, and stay safe online.
Name
First Name
Last Name
Email
example@example.com
Community
Phone Number
-
Area Code
Phone Number
Do you currently have one of the following technology devices? Please select all that apply
I have a tablet or iPad
I have a computer or laptop
I have a smartphone
I do not have any technology devices, but would like to learn and/or borrow a device
On a scale of 1 through 5, how comfortable are you using your devices?
Not at all
1
2
3
4
Very Comfortable
5
1 is Not at all, 5 is Very Comfortable
How often do you use your device?
Never
1
2
3
4
Everyday
5
1 is Never, 5 is Everyday
If you use your device, what do you mostly use your device for? Select all that apply
Social Media
Reading the news
Video and/or Telephone Calls
Games
Shopping
Banking and Finance
Emails
Videos and Streaming
Music
Health
Calendar and Scheduling
Reading e-books or recipes
Other
Which topics would you be interested in learning about? Select all that apply
Cyber Safety and Protecting Yourself Online
Banking and Shopping
Social Media
How to Use a Tablet
How to Use a Smartphone
How to Use a Computer
Phishing, Scams and Online Privacy
How to Navigate Online Services
How to Use Software (Microsoft, Google, or Other)
Setting up Emails, Social Media Accounts, or Other Accounts
Which time of day do you prefer to attend workshops, seminars, or events?
Morning
Afternoon
Evening
No Preference
Which format do you prefer?
Small Groups (1-4)
Medium Groups (5-10)
Large Groups (10+)
One on One Sessions
No Preference
Would you be interested in being a group leader during workshops?
Yes
No
Once I feel more comfortable
I would like training first
What is your preferred method of contact?
Phone
Email
Letter
Do not contact me
Submit
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