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One on One Assistance Survey

Thank you for taking the time to complete the following survey.  This is an information gathering tool only and all respondents will remain completely anonymous.  Please try to answer the following questions as honestly and accurately as possible as this information will assist in future improvements.

Basic Information
CAP Site Location:
Nature of Assistance:
Please indicate if another type of assistance was recieved:
Language of instruction:
Have you previously recieved assistance at a CAP site:   Yes     No   
Demographic Information
Age Range:
Gender:   Male     Female   
Language preference:
If you would prefer a different language, please indicate it:
Please indicate your highest level of education completed:
Which of the following best describes your situation:
Content and Instruction
How would you rate the assistance you received terms of meeting your needs:
How would you rate the quality of instruction:
How would you rate the amount information provided:
Overall how would you rate the assistance you received today:
Internet Technologies and Skill Development
How would you rate your comfort level using Internet and computer technologies:
Did this experience help to reduce any fear you may have using Internet and computer technologies:   Yes     No     Not Applicable   
Would you use Internet and computer technologies for future learning and / or employment:   Yes     No     Not Applicable   
Did this experience help you to learn about creative and / or interactive uses of Internet and computer technologies:   Yes     No     Not Applicable   
Did this experience help your career / skill development:   Yes     No     Not Applicable   
Please provide any additional comments and / or recommendations: