Are You Ready for 21st
Century Learning?
Introduction
Dear student:
This survey is to help us determine what technology you are
using in and out of school. Please take your time and answer the questions
completely and honestly.
Personal Information:
Name of teacher: ______
1.
I am in grade: q 7 q 8 q 9 q 10 q 11 q 12
2.
I am: q Male q Female
Information about technology access:
3.
I have a computer at home:
q That is used by only myself
q That is used by anyone in my family
q Do not have a computer at home
4.
I have (or have access to) a flash drive (jump drive,
pen drive):
q Yes
q No
5. I
have a printer at home or have access to a printer outside of school:
q Yes
q No
6. I
have a scanner or have access to a scanner outside of school:
q Yes
q No
7. I
have Internet access at home:
q Yes
q No
8. I
have my own email account:
q Yes
q No
9. I
have my own digital camera:
q Yes
q No
q I use my parents’
10. I have an
iPod or MP3 player:
q Yes
q No
11. I have a
personal cell phone:
q Yes
q No
If you have a cell phone, check all the ways you use it:
q Phone
calls
q Texting
q Taking
pictures
q Taking
videos
q Accessing
the Internet
q Listening
to music
q Keeping
calendar appointments
q Doing
schoolwork
q Alarm
clock
Other (please
specify) ______
12. How
often do you use a computer outside of school?
q Every
day
q 4-6
times a week
q 1-3
times a week
q Less
than once a week
q Never
13. How
often do you use the Internet outside of school?
q Every
day
q 4-6
times a week
q 1-3
times a week
q Less
than once a week
q Never
14. How
often do you use the computer for research in your classroom?
q Every
day
q 2-4
times a week
q Once
a week
q Less
than once a week
q Never
15. How
often do you, the student, get to use technology in the classroom?
q Every
day
q 2-4
times a week
q Once
a week
q Less
than once a week
q Never
Information about attitudes, knowledge and skills:
For the
following items, put a check under the description that is most accurate.
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Not at
All true
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Somewhat true
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Mostly
True
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Very
True
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16. I
am able to determine if information on a website is true.
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17. I
know how to give web authors credit when I use their material in my papers by
using citations & providing references.
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18. I
type my research papers & major assignments for school.
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19. I
am able to insert graphics into my documents.
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20. I
can create graphs or pie charts in a spreadsheet program.
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21. I
am able to use spreadsheets to calculate sums & averages.
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22. I
can use the computer to create multimedia presentations (such as PowerPoint
presentations).
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23. I
have created interesting and unique projects using a computer.
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24. I
am able to work independently to complete projects using a computer.
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25. I
am able to be creative and artistic with a computer.
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26. My
teachers encourage the use of the computer for school assignments.
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27. I
have cooperated with a group of students to create a class project using
computer technology.
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28. I
am able to create a database to store and retrieve information.
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29. I
believe that knowing how to use the computer will be important for me in my
future.
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30. I
use pictures and graphs in my computer work to better explain my ideas.
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31. Technology
helps me understand how the things we learn in school relate to real-life
situations.
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32. I
use computers to find information from sources that are like printed books
(such as electronic encyclopedias).
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33. I
use technology to find information that is not in our school library or
school books (such as U.S. Census data describing people who live in a city).
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34. I
use technology to solve short problems (such as list the population of
several African nations over the last five years).
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35. I
use technology to solve more complex, real-life problems (such as create a
multimedia presentation on how to reduce pollution at school).
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36. I
work in a team with other students when I use technology.
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37. I
use computer programs to predict how things in the real world might change
(such as predict population growth in a city).
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Information
about use of Web 2.0 tools for school related and personal purposes:
For the following items, put a check under the description
that is most accurate about how often you use the following Web 2.0 tools.
Please put 2 checks – one for school related uses and one for home-related uses.
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School
related use
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Personal
use
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Every day
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2-4 times per week
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Once a week
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Less than once a week
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Never
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Every day
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4-6 times per week
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1-3 times per week
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Less than once a week
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Never
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38. Blog
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39. Wiki
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40. Podcast
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41. Upload or download video
online
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42. MySpace
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43. Facebook
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44. Twitter
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45. Personal webpage
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School
related use
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Personal
use
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Every day
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2-4 times per week
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Once a week
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Less than once a week
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Never
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Every day
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4-6 times per week
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1-3 times per week
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Less than once a week
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Never
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46. Image sharing or editing
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47. Digital Story Telling
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48. Google Docs
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49. Google Earth
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50. Second Life or other
virtual world website
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Thank you for completing this survey.
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