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Student Computer Questionnaire

This is a short questionnaire designed to tell me a little about you. It is not intended as an opportunity for you to impress me with your knowledge, but just to give me an idea of your experiences with computers. Please answer the questions as honestly as possible.

Name

Parent/Guardian Name(s)

Home Address

Home Phone Number

Parent/Guardian Work Phone Number

For Whom?

Where will this phone number connect me to? (Check only one)?

	Work Phone Number
	Pager Number
	Cell Phone Number

Do you have a computer at home?

	Yes
	No

- If yes, what type is it?

	Microsoft Vista		Mac
	Microsoft XP		MacBook
	Microsoft 2000		MacBook Pro
			MacBook Air

What is your favorite software program?

The following are a list of computer programs or applications. In the box provided, check the ones that you have used and are somewhat familiar with.

Word Processing	Graphics/Paint	Sound
Database	Web Page Design	Logo (Programming)
Spreadsheet	Internet	Robotics
Presentation	Video	Photo Editing

If you checked the Internet box above, do you have an email address?

Yes

If you checked Yes above, what is your email address? (e.g. yourname@yahoo.com)

Review the answers you typed/selected. If you need to make any changes, go back and do so or press the Reset button below. The Reset button will delete ALL your answers. If you are ok with what you typed/selected, PRINT a copy of what you typed/selected and bring to class (Just in case I did not receive your questionnaire, you will still receive Extra Credit by bringing in the printout.). Then press the Send button.

Note: When you press the Send button, you may have a few message windows pop up asking you if you want to send the email. Press the Ok/Yes buttons, until the questionnaire is sent. Once it has been sent, your screen will come back with the following, "Internet Explorer Cannot Display the Web Page". Don't worry. I will send an email back to you so you will know I received your questionnaire.

Animated Send Email

This site was created by Laura Parcell for the primary purpose of teaching and demonstrating computer skills.
Any distribution or copying without the express or written consent is strictly prohibited.

Any questions, comments, or suggestions concerning this page or this web site should be forwarded to
Laura Parcell, Computer Science/Business Education Teacher
Copyright © September, 2008. All rights reserved.