Needs Assessment Surey

What is the job title for your current position?

What is your race? Please choose one or more.

Black or African-American

White or Caucasian

Asian

Native Hawaiian or other Pacific Islander

American Indian or Alaska Native

Other

What is the highest level of school you have completed or the highest degree you have received?

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree

What is your age?

18 to 29

40 to 49

40 to 54

55 or older

What is your gender

Male

Female

How would you rate your computer skills?

Beginner

Intermediate

Advanced

Please rate your proficiency when it comes to using technology:

Beginner

Intermediate

Advanced

Please indicate the software you currently use for your program.

Do you use technology when teaching your clients? If so, do you feel it is effective and beneficial. Please explain.

Please make any additional comment here about technology usage in your position or programs.