Pre-Workshop Assessment
This is a baseline assessment of comfort level of personal use of technology and coaching skills for participants in the Technology Workshop. The information gathered from this assessment will be used to develop materials and resources throughout the course and as baseline data for effectiveness of the workshop.

Please complete this pre-assessment to express your comfort level and experience of your personal use of technology and your coaching skills with participants in the Technology Workshop. The Information gathered from this assessment will be the used to tailor materials and resources throughout the course to ensure an effective workshop.
Sign in to Google to save your progress. Learn more
Email *
Name and Provider type  *
Technology Use and Understanding
On a scale of 1-5, Please rate your comfort level and understanding of using each of these technologies or technology concepts
Rate how comfortable you are with each of the following: *
I have never used this
I struggle to use this
I am okay using this
I'm comfortable using this
I am very comfortable using this and can help others
Smartphone / Tablet / iPad
Connecting to WiFi on a computer
Connecting to WiFi on a mobile device
Video Conferencing Call (Zoom, Google Meet, Microsoft Teams, etc)
Virtual Calendar for scheduling
Digital or Virtual Alarms
Cloud storage (Drop Box, Google Drive, etc)
Smarthome Tech (Alexa, Nest, etc)
Assistive Technology (AAC, MyGuide, etc)
Standard Accessibility Tools
WCAG and 508 Compliance
Accessibility Tools and Device/Site Settings
Is there anything else you would like to share about your experience with technology?
Coaching 
Please answer the following questions related to your comfort and knowledge using  coaching concepts for people with disabilities. 
Please describe how you support the clients in your setting to complete tasks. Include the use of any supports you use. 
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of PowerUp Occupational Therapy Consulting, LLC. Report Abuse
Google Forms