1.  How many years have you been using computers?

a. Less than 1 year
b. About 1-2 years
c. About 2-4 years
d. About 4-6 years
e. More than 6 years 

2.  How often do you use a computer?

a. Never
b. About once a month
c. About once a week
d. Several times a week
e. Every day 

3.  How often do you use the Internet (the Web, email, IM, etc.)?

a. Never 
b. About once a month
c. About once a week
d. Several time a week
e. Every day  

4.  How much time do you spend during each session on the Internet?

a. None
b. About 15 minutes
c. About 30 minutes
d. About 1 hour 
e. More than an hour  

5.  Who has taught you the most about computers? (Choose one)

a. Self-taught 
b. My teachers
c. My friends/other students
d. My family
e. Training outside of school 

6.  How often do you use a computer for the following subjects?
(Please select one response for each subject)

	Never	Rarely	Sometimes	Often	A lot
Art
Computers
Literature/Humanities
Language Studies
Mathematics
Music
Science
Social Sciences/History
Other

7.  How often do you use computers at school to do the following activities?
(Please select one response for each subject)

	Never	Rarely	Sometimes	Often	A lot
Practice keyboard/typing and basic computer skills
Word processing, write papers
Use spreadsheet software
Use presentation software
Use draw, paint or graphics software
Computer science/ programming
Create/maintain my own website
Find news & information on the Internet
Email
Chat
Download music
Create/edit music, video, or photos
Play games
Access educational resources or CDROMs

8.  What are your favorite activities using a computer?
(Please select one response for each subject)

	I dislike this a lot	I dislike this a little	Neutral	I like this a little	I like this a lot
Practice keyboard/typing and basic computer skills
Word processing, write papers
Use spreadsheet software
Use presentation software
Use draw, paint or graphics software
Computer science/programming
Create/maintain my own website
Find news & information on the Internet
Email
Chat
Download music
Create/edit music, video, or photos
Play games
Access educational resources or CDROMs

9.  What are your challenges or concerns when using computers in your school?
(Please select one response for each subject)

	I dislike this a lot	I dislike this a little	Neutral	I like this a little	I like this a lot
Using the keyboard and/or mouse
Lack of confidence and comfort using computers
Being exposed to inappropriate information and images
Theft of my personal information/privacy concerns
Use draw, paint or graphics software
Computer science / programming
Create/maintain my own website
Find news & information on the Internet
Technical problems with hardware and software (electricity, viruses, etc.)
Not enough time
Too many people, not enough computers
Lack of relevant content in my language
Cost

10.  How would you describe the speed of the school’s Internet connection?

a. Very slow 
b. Somewhat slow 
c. Medium speed 
d. Somewhat fast 
e. Very fast 

11.  How often does the school’s Internet connection work properly?

a. Never 
b. Rarely 
c. Sometimes 
d. Usually  
e. Always 

12.  How often do you send and receive e-mail?

a. Never 
b. A few times every month 
c. A few times every week 
d. A few times every day 
e. Many times every day

13.  How have computers affected the way you feel about school? 

a. Computers have made me like school much less 
b. Computers have made me like school a little less 
c. Computers have not changed the way I feel about school 
d. Computers have made me like school a little more 
e. Computers have made me like school much more 

14.  How have computers affected you as a student?

a. Computers have made me a much worse student 
b. Computers have made me a somewhat worse student 
c. Computers have not affected me as a student 
d. Computers have made me a somewhat better student 
e. Computers have made me a much better student  

15.  Information that you find on the Internet

a. Should never be believed 
b. Should rarely be believed 
c. Should sometimes be believed 
d. Should usually be believed 
e. Should always be believed  

16.  If you use email, whom do you use it to communicate with?
(Please select one response for each subject)

	Never	Rarely	Sometimes	Very Often	Every time
My friends and other students
My teachers
My family
People in other countries

17.  How useful are the following people and tools in helping you learn?

	Not useful	A little useful	Somewhat useful	Very Useful	Necessary
Educational software and CD-ROMs
World Wide Web
Email
Textbooks
Teachers
My friends/other students
My family

18.  My parents...

a. Are not interested in my use of computers
b. Are a little interested in my use of computers 
c. Are somewhat interested in my use of computers 
d. Are fairly interested in my use of computers 
e. Are very interested in my use of computers

19.  In general, my teachers...

a. Are not interested in my use of computers 
b. Are a little interested in my use of computers 
c. Are somewhat interested in my use of computers 
d. Are fairly interested in my use of computers 
e. Are very interested in my use of computers