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Tech Support Intake Form
Do you need some help learning how to use technology? Our volunteer tech support team is here to teach you, virtually, from the comfort of your own homes.
This form is designed to give us a sense of what kind of technology support you are looking for. By filling out this form, we are able to do our best to match you appropriately with a volunteer. We are only able to provide support for one issue per session.
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* Indicates required question
Date:
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Last Name
*
Your answer
What is your preferred language to receive support?
*
English
Farsi
Mandarin
French
Arabic
Greek
Other:
If your preferred language is not available, are you okay to receive support in English?
*
Yes
No
What municipality do you live in?
*
CNV (City of North Vancouver: Lower Lonsdale, Central Lonsdale, Keith-Lynn)
DNV (District of North Van: Deep Cove, Delbrook/Upper Lonsdale, Lions Gate, Lynn Creek, Lynn Valley, Maplewood, Seymour, Upper Capilano)
DWV (District of West Vancouver)
Other:
Phone Number
*
Your answer
Is it safe to leave a voice message?
*
Yes
No
Email address
*
Your answer
Do you have wifi/ wireless internet connection?
*
Yes
No
What devices do you use?
*
Cell Phone (flip phone)
Cell Phone (smart phone: phone that can use the internet. E.g. Google)
Laptop
Desktop Computer
Tablet
Other:
Required
Do you know how to join a Zoom call?
*
Yes
No
Maybe
Do you have a camera on your computer?
*
Yes
No
I don't know
Not applicable
Would you prefer to receive support over Zoom or over the phone for your first visit?
*
Zoom
Phone
If possible and applicable, please indicate the brand of the device you are seeking support for (for example Apple/Mac Computer, iPhone, Dell Laptop, Samsung Phone, etc)
*
Your answer
What do you need help with/what would you like to learn? (1 issue only per session)
*
Your answer
What days/times are you not available?
*
Your answer
After you receive support, we would like to learn about your experience in order to evaluate this program. What would be the best way for us reach you?
*
Email (with link to an online form)
Phone call
Is there anything else you want us to know about you?
Your answer
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