Computer Interest Survey

Please print out this form, complete it and bring it in or mail it to the Winona Senior Friendship Center at 251 Main Street - Winona, MN  55987

1.  Are you familiar with the Computer Lab at the Senior Friendship Center?    _____ yes _____ no

2.  Have you used any of the programs available on the computers at the Senior Friendship Center? _____ yes _____ no

3.  Are you aware that computer teachers are available to help you, or teach you computer skills? _____ yes _____ no

4.  Would you be interested in taking a class either individually or in a group to learn about computers? _____ yes _____ no

5.  Do you have a computer at home? _____yes _____ no

If interested in taking a class, please check the areas below which you would like to see a class offered in:

_____ Internet                                                 _____ E-mail

_____ Typing skills                                          _____ Financial      

_____ Word Processing                                   _____ Genealogy

_____ Digital Photography                              _____ Games  

_____Computer Fundamentals

_____ Database applications

_____ Web page development/design

_____ Troubleshooting your home computer

_____ Other - please specify

If you would like more information about classes available, or if you would like to schedule a lesson, please write your name and phone number on the line and you will be contacted by a teacher from the Senior Friendship Center.

Name:   _______________________________

Phone:  _______________________________