CWDB Veteran Survey
Designed specifically for veterans, this program honors your service by investing in your next chapter. The Computer Literacy Program provides hands-on, in-person instruction to help veterans build practical digital skills, navigate technology with confidence, and remove barriers to employment, education, and daily tasks that increasingly require computer access and proficiency.
Overview
Name
Email
Zipcode
Contact Number
Section A: Demographics & Barriers
1. What is your age range?
18-24
45-54
25-34
55-60
35-44
60-65+
2. What is your gender identity?
Female
Male
Non-binary
Prefer not to answer
3. What is your race/ethnicity?
Black/African American
Hispanic/Latino
Asian/Pacific Islander
Native American/Alaska Native
White
Prefer not to answer
Other
4. What is your employment status?
Employed full time
Employed part time
Self-employed
Unemployed but looking for work
Unemployed and not looking for work
Homemaker
Student
Prefer not to answer
5. Do you currently face any of the following challenges? (select all that apply)
Housing insecurity/homelessness
Disability (physical/mental health)
Substance use recovery
Lack of reliable transportation
Lack of childcare
Limited computer/internet access
Difficulty finding or keeping employment.
Lack of digital literacy
Lack of business attire
Section B: Computer Literacy & Digital Skills Assessment
6. Do you currently have regular access to a computer?
Yes, desktop/laptop
Yes – mobile device only
No regular access
7. How comfortable are you using a computer?
Never used one
Beginner (basic tasks only)
Some experience
Comfortable
Very confident
8. Which tasks can you currently do? (Check all that apply)
Turn a computer on/off
Use a keyboard and mouse
Type a document
Send and receive email
Attach files to email
Use the internet safely
Fill out online forms
Use Microsoft Word
Use spreadsheets (Excel/Sheets)
Join Zoom or online meetings
9. What do you want the MOST help with? (Top 3)
Typing & keyboard skills
Email & communication
Online job applications
Microsoft Word
Spreadsheets
Presentations
Internet safety & scams
General computer confidence
10. Preferred learning style
In-person (preferred)
Small group
One-on-one help
11. Please identify any current barriers that may prevent you from enrolling in or participating in the courses you selected. Your responses will help us better understand your needs and provide the appropriate support.
Section C: Occupational Needs & Skills
12. What skills do you feel most confident in today? (check all that apply)
Physical fitness / law enforcement readiness
Computer / typing skills
Mechanical/technical skills
Science/laboratory work
Customer service / public interaction
Bilingual communication
Logistics & Operations
Entrepreneurship
Other
None of the above
13. What skills do you feel you need the most training in to be successful in a job?
Computer and digital literacy (email, data entry, online applications)
Customer service and communication skills
Public speaking and professionalism
Time management and workplace organization
Report writing and documentation
Basic math and data analysis (for budgeting, utilities, or reports)
City processes and government structure (how departments and hiring work)
Reading and interpreting forms, permits, and policies
Conflict resolution and teamwork
Technical safety and equipment training (for utilities and field work)
Typing and office software (Word, Excel, Teams, etc.)
Interview preparation and job application skills
Stress management and resilience under pressure
Leadership and supervision fundamentals
Other (please specify): __________________________
14. How comfortable are you with online learning/self-guided courses?
1 = Not at all comfortable
2 = Slightly comfortable
3 = Neutral
4 = Comfortable
5 = Very comfortable
15. Do you have access to a computer to complete online learning?
Yes
No
16. How many hours per week could you reasonably commit to training?
1–5 hrs
6–10 hrs
11–15 hrs
16+ hrs
Section D: Wrap-around support
17. What challenges do you face on a day-today basis if any?
18. What additional supports would you need to complete training successfully? (select all that apply)
Housing support
Mental health counseling
Transportation assistance
Childcare assistance
Mentorship/coaching
19. Is there anything else we should know about your needs or interests as a veteran pursuing employment?
Submit
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