If you need assistance completing the survey or would like to receive the survey in an alternative format, please call the Center for Accessible Technology at 510-841-3224 (TTY: 510-841-5621).
1. Everyone taking this survey who is over the age of 18 and lives in California is eligible to win a cash prize. There are three prizes: two $50 prizes and one $100 prize. To be entered in the drawing for the prize, you will have to enter your name and mailing address. Your survey responses will be kept separate from your personal information.
Do you want to be part of the drawing?
2.
4. Please select your age group
5. The following option best describes me:
6. Please select all categories that your disability(ies) would fall under:
7. Does your disability or illness make it harder to use the Internet?
8. At any time has your disability or illness made it impossible to use the Internet?
9. What are the most common barriers you experience to accessing content online?
10. Why don't you use the Internet?
11. Would you like to start using the Internet and email?
12. If you started to use the Internet, what would you like to do online?
13. Which of the following activities do you do online?
14. How often do you visit banking websites?
15. How often do you visit shopping websites?
16. How often do you visit news or weather websites?
17. How often do you visit Social/Networking sites (Myspace, Facebook, Linked in)
18. How often do you visit online dating sites?
19. How often do you visit sites to locate old friends?
20. How often do you visit government websites?
21. How often do you visit public utilities websites?
22. How often do you take a class online?
23. How often do you get information about movies, music, books, other leisure activities online?
24. How often do you look for health or medical information online?
25. How often do you get directions online (with services such as MapQuest or Yahoo! Maps)?
26. How often do you look for housing or research housing opportunities online?
27. How often do you look for work or research job opportunities online?
28. How often do you visit travel websites?
29. How often do you visit investing websites?
30. How often do you visit online auction websites?
31. How often do you play games online?
32. How often do you research genealogy/family history online?
33. Are there activities you have not yet done online but would like to?
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36. From which of the following locations do you go online to access the World Wide Web or send and receive e-mail?
37. How often do you go online from home?
38. How often do you go online from work?
39. How often do you go online from school?
40. How often do you go online from a friend or neighbor's house?
41. How often do you go online from a library?
42. How often do you go online from a cell phone or other mobile device?
43. How often do you go online from an internet café?
44. How often do you go online from a hotel or while traveling?
45. How often do you go online from a community center?
46. How often do you go online from a place of worship or other religious organization?
47. Is there a working computer in your apartment or house?
48. Why is there not a computer in your apartment or house?
49. Do you or someone in your house use assistive technology to access computers and/or the internet?
50. What type of assistive technology is used?
51. Does your apartment or house have internet access?
53. What type of internet access do you have?
54. Why have you chosen not to get cable or DSL internet service?
