Technology Survey ~ What Connects Us

(Adapted from Donald Berman UP House)

Technology can be useful to keep people connected and participating in programs. However, technology can be challenging to use and may be a source of discomfort for some. This survey is to get to know what our community needs in order to participate in virtual/online programs.

The information you provide will only be seen by What Connects Us research staff and will remain confidential. You do not need to answer any questions you are not comfortable with.

Thank you for your participation! ☺

Other: Please click on the [Add]

Other: Please click on the [Add]
Other: Please click on the [Add]

2. We have been asked by the Public Health Agency of Canada to track the reach and impact of our initiative, can you please check as many as apply. I self-identify as,

Person.s living with a mental illness

Person.s living with Alzheimer's and other related disorders

Person.s who has a disability

Person.s who is Black

Person.s who is Indigenous

Person.s of colour

Person.s who is part of the 2SLGBTQQIPAA community

Carer.s for a person living with a mental illness

Carer.s for a person living with Alzheimer's and other related disorders

3. Do you identify as a newcomer to Canada? (How long you and your family have been here)

I moved to Canada

My parent(s) moved to Canada

My grandparent(s) moved to Canada

Too many generations to remember

I am indigenous

Other (please specify where you are living outside of Canada)

4. What type of device(s) are you currently using to communicate with others? Check all that apply. *If the phone of the survey participant has no Internet, please write a note to notify the research team.

Landline

Personal only

Personal only

Shared

Shared

Landline phone shared with roommates

Family landline phone

Cell Phone

Smartphone (What apps do you use, e.g., iPhone, Samsung, HTC, LG, etc.)

Smartphone (What apps do you use, e.g., iPhone, Samsung, HTC, LG, etc.)

Flip phone

Flip phone

Computer

Desktop computer (What operating system?, e.g., Macintosh- Apple/Mac, PC-Windows, Linux, etc.)

Desktop computer (What operating system?, e.g., Macintosh- Apple/Mac, PC-Windows, Linux, etc.)

Laptop computer (What operating system:, e.g., Macintosh- Apple/Mac, PC-Windows, Linux, etc.)

Laptop computer (What operating system:, e.g., Macintosh- Apple/Mac, PC-Windows, Linux, etc.)

Tablet (What operating system, e.g., iPad, Samsung, etc.)

None

Other:

5. In the last week, which device have you used and how often have you used them?

Never

Very rarely (about 1 to 2 times)

Rarely (about 3 to 6 times)

Occasionally (about 6 to 10 times)

Frequently (around every other day)

Very frequently (basically everyday)

I am not currently using any device

5. How often have you used them?

Questions	Never	Very rarely	Rarely	Occasionally	Frequently	Very frequently	Not currently using the device
Landline	Never	Very rarely	Rarely	Occasionally	Frequently	Very frequently	Not currently using the device
Cell Phone	Never	Very rarely	Rarely	Occasionally	Frequently	Very frequently	Not currently using the device
Computer	Never	Very rarely	Rarely	Occasionally	Frequently	Very frequently	Not currently using the device
Tablet	Never	Very rarely	Rarely	Occasionally	Frequently	Very frequently	Not currently using the device
Other	Never	Very rarely	Rarely	Occasionally	Frequently	Very frequently	Not currently using the device

6. Which of the following is/are NOT included with the device(s) you use? Check all that apply.

Camera

Microphone

Speakers

Uncertain

I am not currently using any device

7. Are you interested in learning more about how to use your current device(s)?

Yes

I do not have a device, but would like to learn more

No, I am not interested

No, I would like to learn on a different device

Maybe, I would like to have more information

8. If you could use any device what device would you use? What would you like to do with the device? (e.g., laptop computer, tablet, smartphone, other). Please click on the [Add] if you need more than one device

8. If you could use any device what device would you use? What would you like to do with the device? (e.g., laptop computer, tablet, smartphone, other). Please click on the [Add] if you need more than one device
8. If you could use any device what device would you use? What would you like to do with the device? (e.g., laptop computer, tablet, smartphone, other). Please click on the [Add] if you need more than one device

9. Which kinds of communication are you currently using? Check all that apply.

Text message

Landline phone

Cell phone calls

Video conferencing (Zoom, Teams, Facetime, GoToMeeting, HouseParty, WebEx, WhatsApp, Wechat, other)

None

Other…

10. Would you like to learn about additional ways to communicate with others virtually* or online?

Yes

No, I already know how

No, I am not interested

Maybe, I would like to have more information

*Virtual: an interaction that does not take place in an in-person physical environment. Takes place through a computer or other device.

11. Please indicate the extent to which the following items are barriers/issues to using technology:

Questions	Not a barrier	Small barrier	Big barrier	Uncertain
a) Cost of device	Not a barrier	Small barrier	Big barrier	Uncertain
b) Cost of internet service	Not a barrier	Small barrier	Big barrier	Uncertain
c) Access to internet service	Not a barrier	Small barrier	Big barrier	Uncertain
d) access to devices	Not a barrier	Small barrier	Big barrier	Uncertain
e) Knowledge of how to use device	Not a barrier	Small barrier	Big barrier	Uncertain
f) Knowledge of apps or online meeting programs on device	Not a barrier	Small barrier	Big barrier	Uncertain
g) Worries about using the internet or technology	Not a barrier	Small barrier	Big barrier	Uncertain
h) Worries about bothering someone for help	Not a barrier	Small barrier	Big barrier	Uncertain
i) Worries about privacy	Not a barrier	Small barrier	Big barrier	Uncertain
j) Lack of interest	Not a barrier	Small barrier	Big barrier	Uncertain
k) Lack of benefit	Not a barrier	Small barrier	Big barrier	Uncertain
l) Lack of technical support	Not a barrier	Small barrier	Big barrier	Uncertain
m) long-term care restrictions	Not a barrier	Small barrier	Big barrier	Uncertain
n) Not feeling up to it in the moment	Not a barrier	Small barrier	Big barrier	Uncertain

** If you are experiencing other significant barriers/issues to using technology, please write them in question #13.

12. Please rate your ability from beginner to advanced on the following skills:

Questions	Beginner	Intermediate	Advanced	Uncertain
a) Basic knowledge of device	Beginner	Intermediate	Advanced	Uncertain
b) Opening and accessing a device	Beginner	Intermediate	Advanced	Uncertain
c) Rebooting/restarting device	Beginner	Intermediate	Advanced	Uncertain
d) Controlling settings on a device	Beginner	Intermediate	Advanced	Uncertain
e) Downloading and using apps (e.g. Zoom communication app)	Beginner	Intermediate	Advanced	Uncertain
f) Using email	Beginner	Intermediate	Advanced	Uncertain
g) Using the internet	Beginner	Intermediate	Advanced	Uncertain
h) Using a keyboard	Beginner	Intermediate	Advanced	Uncertain

13. If you were provided training, how would you like to receive training? Check all that apply.

In-person

Online/virtual (e.g. Zoom)

Over the phone

Step-by-step manual guide

Other…

14. What do you need/want to do with a device? Check all that apply.

Conversations

Call family members and/or friends - Audio call

Call family members and/or friends – Video call

Text messages

Activities (enjoyment)

Participate in Zoom activities at UP house or other virtual programs

Use applications for leisure or health (e.g. games, yoga, mindfulness, Netflix)

Take photographs

Listening to music

Everyday life tasks

Attend telehealth appointments (with medical professionals)

Use calendar, alarms, and scheduling applications

Use Word, PowerPoint, or Excel

Uncertain

Other:

Other: Please click on the [Add] if you need more than one activity
	Other: Please click on the [Add] if you need more than one activity	Item weight

more items

15. If you have any comments you would like to make about using the internet or technology, please write them below.

16. What types of activities would you like to be involved in online?

Laughter yoga

Art activities

Creative movement

Virtual coffee with other members

Reminiscence group

Tech workshops

Other…

The next two questions (age and postal code) are optional

Age:

19 and under

20 to 29

30 to 39

40 to 49

50 to 59

60 to 69

70 and over

Rather not say

Postal code or neighbourhood:

I would be willing to be contacted again for other research activities related to whatconnectsus-cequinouslie.org?

Please enter your email or phone number here and a research team member will get back to you soon.

Email:

Phone number:

We have three additional questions that can help us

This survey was created by Alexandra Bachand and Léa Marie Duguay, Fall 2020 M2 Occupational Therapy Students, McGill University with consultation from UP House staff, members, and volunteers. Thank you to Chesley Walsh, Suzanne Rouleau, Melissa Park, and Patricia Belchior for your help in creating this survey. It has been modified for use with the What connects us~Ce qui nous lie project