30 Day Participant Follow Up | Information Technology Exchange

First Name: *

Last Name: *

Username: *

Is your computer working properly?: *

If no, please explain problem:

Brief description of issue (20 words or less)

Do you have additional technology needs?: *

Needs might be a printer, a little training, set up help etc...

Describe these needs if any...:

How do you get online most often?: *

Did you have any trouble getting started with your computer?: *

If you had trouble, please explain...:

Very brief explanation of difficulty you experienced.

What type of Computer Instruction have you had?: *

Any training/classes you'd like not mentioned in the last question?: *

Do you plan on getting more computer training?: *

How many live with you?: *

Are any of these people under 16?: *

Have you discovered any new interests since getting your computer?: *

Please rate the project application process: *

Ratings: 1=Difficult, 5 = Easy

Are you pleased with the quality of your computer?: *

Ratings: 1=displeased, 5=very pleased

Is your computer easy to use?: *

Ratings: 1=very difficult to use, 5 = very easy to use

Do you think your computer is sufficient to meet your goals?: *

Ratings: 1 = not at all sufficient, 5 = more than sufficient

Have any ideas that might improve the PCs for MAINE program?: