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Ottoville Grades 4-6 Technology Survey
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* Indicates required question
General Information
Gender
*
Female
Male
Grade
*
4th
5th
6th
Do you have a computer at home?
*
Yes
No
If yes, is it connected to the Internet?
*
Yes
No
Do you have wireless Internet at home?
*
Yes
No
What electronic devices do YOU own?
*
Check ALL that apply
Desktop Computer (PC or Mac)
Laptop/Netbook Computer (PC or Mac)
iPad or other tablet device (Kindle, Nexus, Samsung Galaxy, etc.)
iPod Touch
Smart Phone (iPhone, Android Phone, Windows Phone, etc.)
I don't own any of these devices.
Other
Required
What electronic devices do other family members own that you have regular access to?
*
Check ALL that apply
Desktop Computer (PC or Mac)
Laptop/Netbook Computer (PC or Mac)
iPad or other tablet device (Kindle, Nexus, Samsung Galaxy, etc.)
iPod Touch
Smart Phone (iPhone, Android Phone, Windows Phone, etc.)
I don't own any of these devices.
Other
Required
At home, where do you use computers and other devices (iPods, tablets, game systems, Smart Phones, etc.)
*
Check ALL that apply.
My room
LIving Room/Family Room/ Den/Office
Brother or Sister's Bedroom
Kitchen or Dining Room
Not Applicable, I don't have access to any devices like these.
Other
Required
What do you use the Internet for at home?
*
Check ALL that apply.
Facebook
Twitter
Blogging (Blogger or Tumblr)
Instagram or other Photo Sharing Sites
Video Chat (Facetime or Skype)
Text Chat or IM
Posting and/or watching Videos (Sites like YouTube, Vimeo, Vine or Instagram)
Games
eMail
Homework
Shopping
Not Applicable: I don't have (or am not allowed) Internet access at home.
Other
Required
What game systems do you or your family members own that you use?
*
Check ALL that apply.
Xbox
Playstation
Wii
PSP Handheld
Nintendo DS
I don't have access to any game systems or don't use any game systems.
Other
Required
Do you have a cell phone of your own?
*
Yes- a smartphone (has Internet access, apps, email, etc.)
Yes- not a smartphone
No
School
Check all of the classes for which you have used computers/chromebooks this year:
*
English/Language Arts
Math
Social Studies/History
Science
Physical Education
Music (Band and/or Choir)
Art
Reading
Other
Required
On average, how much time per day do you spend using a computer/chromebook at school?
*
Never
Less than 15 minutes
15-30 minutes
30-60 minutes
60-90 minutes
More than 90 minutes
I have used the following software or equipment at school at least once:
*
Computer/Chromebook
Digital Camera
Document Camera
Inspiration
Internet
Multimedia Tools (iMovie, Animoto)
Printer
SMARTboard
Software to practice keyboarding skills
Software to practice skills in math, reading, or other subjects
VCR/DVD player
Google Docs
Google Sheets
Google Slides
Google Drawing
Quizzing software (Quizlet, Quizz.com, Kahoot, etc.)
Video making (Animoto, iMovie, etc.)
QR Codes
Other:
Required
How would you rate your overall ability to use technology?
*
I can use technology without assistance whenever I need to.
I need very little help when using technology.
I need a lot of help when using technology.
I cannot use technology without someone there to help me.
How would you rate your teachers' ability to use techology?
*
They are able to use technology without getting assistance from someone else.
They sometimes need help to get the technology working.
They need a lot of help to use technology
They cannot use technology unless someone else is there to do it with them.
Where do you learn the most of your technology skills?
*
At school
At home
I teach myself
My friends tech me
Tell us about one project you have done in class. These may include creating a video, making a slide show, researching new topics, or anything else that uses technology and really made you think in a new way.
*
Your answer
Cyber Safety
Have you ever been cyberbullied or harassed while online?
*
Yes
No
Not Sure
If you were being cyberbullied or harassed, do you have a trusted adult at school that you could tell?
*
Yes
No
Which of the following things are okay to post about yourself online?
*
Check as many as apply
Address
First Name
Last Name
Personal PIcture
Phone Number
Your favorite color
Your pet's name
Required
Which of these things should you NOT post online?
*
What you are eating for dinner
Where your basketball game is this weekend.
Who your favorite band is
Why is it important, in most cases, to not post your personal information on the Internet?
*
Once it is online, you can't control what happens to it
Someone else could pretend to be you
To not put yourself in harm's way
All of the above
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