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Information Technology Survey
Please fill out the form below. Please
contact Brittany Rogers
with any questions.
What is your name? (First Last)
*
What is your name? (First Last)
What is your work e-mail address?
*
What is your work e-mail address?
What kind of internet service do you have at home?
*
What kind of internet service do you have at home?
High Speed Internet
Dial up Internet
None
What computer hardware do you currently have at home, in working condition?
What computer hardware do you currently have at home, in working condition?
Monitor
Laptop
Desktop
Keyboard
Mouse
If you do currently have a computer at home, is it a Windows or Mac?
If you do currently have a computer at home, is it a Windows or Mac?
Windows
Mac
Do you currently have a desk, table, or other work space in your home that would be conducive to working from home?
*
Do you currently have a desk, table, or other work space in your home that would be conducive to working from home?
Yes
No
Δ