Check for "Yes"; leave blank for "No"
Home
Work
I have computer access at …
I have internet access at …
I have email access at …
I have instant messaging service at …
I use blogs or wiki’s at …
I use virtual meetings at …
I have access to a word processing program at …
I have access to a presentation program at …
I have access to a spreadsheet program at …
I have access to a picture manager program at …
I have access to a survey building program at …
I have access to audio video player software at …
I have access to audio video creation software at …
I use audio video sharing at..
SCORE: (Total 1 point for each check box)
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Click here to link to the Computer Use Assessment Part II