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Do you have a computer at home?
 
No
 
Yes
 
(if yes, check what your computer has)
 
CD-ROM
 
Internet Connection
 
Both
 
 
 
Check all of the places where you used computers for school this year.
 
A Regular Classroom
 
Computer Lab — Teacher Assigns Use
 
School Media Center/Library
 
Computer Lab — I Choose When to Use It
 
In My Own Home
 
Community Center or Public Library
 
After-school Program
 
 
 
Check all of the classes for which you used computers this year.
 
English/Language Arts
 
History/Social Studies
 
Physical Education/Health
 
Music/Art
 
Science Math
 
 
 
I use technology to learn basic skills in math, reading or spelling
 
Never
 
Sometimes
 
A lot
 
 
 
I have trouble understanding text, numbers or graphs when they are
shown on computers
 
Never
 
Sometimes
 
A lot
 
 
 
I communicate with others using technology (e.g., e-mail)
 
Never
 
Sometimes
 
A lot
 
 
 
I know which technology, software and online services to pick to help me
solve problems
 
Never
 
Sometimes
 
A lot
 
 
 
I use pictures and graphs in my computer work to better explain my ideas
 
Never
 
Smetimes
 
A lot
 
 
 
Technology helps me understand how the things we learn in school relate
to real-life situations
 
Never
 
Sometimes
 
A lot
 
 
 
If yes, how frequently, on average, does this occur?
 
Daily
 
Once a week
 
More than Once a week
 
Once or twice a month
 
A few times each year
 
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