CONNECTIVITY ASSESSMENT

Recent events have shown us how important it is to have home Internet access and Community Tech Network wants to support our senior learners in getting the connectivity they need to avoid feeling isolated and to access essential services. Home Connect is CTN’s newest COVID-19-inspired program, designed to connect isolated seniors to the Internet and leverage its resources from the comfort and safety of their home. The Home Connect program will connect senior learners directly with a trained instructor to support them in areas customized specifically for that learner.

This assessment will help us better understand the connectivity needs of our older adults in San Francisco so we can work on getting everyone connected to the Internet, a device and digital skills. Data for this survey is meant to be collected by a senior center staff member who is well known and trusted by the senior they are interviewing. Questions about this project can be directed to homeconnect@communitytechnetwork.org.

Learner First Name:
Learner Last Name:

HOME ADDRESS

Street:
City:
State:
Zip:
Home Phone:
Mobile:
Preferred Language:

ACCESS QUESTIONS

How does the learner rank their comfort level using a touch screen device such as a smartphone or tablet?

Does the learner have an Internet capable device beyond their cell phone or smartphone device? (check for yes)

Does the learner have access to the Internet beyond their cell phone or smartphone device? (check for yes)

How would you rank the learners digital skills?

Interviewer First Name:
Interviewer Last Name:
Interviewer Email:

If you have any questions pertaining to the Home Connect program and applicant eligibility, please reach out to Stephen Minor, Program Manager at stephen@communitytechnetwork.org.