COMPUTER USE ASSESSMENT

Please answer the following questions.

1. Do you use a computer?
   • Yes
   • No
2. How often do you use a computer? Please “” your average use.
   • Once a week
   • Twice a week
   • Three times a week
   • Many times a week
   • Every day of the week
   • Other
3. Where is your computer? Please “”
   • In my home
   • In a family member’s house
   • In a friend’s house
   • In a school
   • In a community centre
   • Other
4. On a scale of 1 to 10, circle the number that relates to how comfortable you are when using a computer.

* If you rate yourself 6 or more, please continue.