Instructional Technology Needs Assessment Form
You are
Teacher
Teaching Assistant, Aide, or Similar
Technology Specialist
Media Specialist
Administrator
Other
Grade(s) you teach
Head Start
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
None
Other
Subjects you teach
English
Fine Arts
Foreign Languages
General Elementary (all subjects)
History/Social Sciences
Mathematics
PE
Science
Special Education
Other
How many years have you taught?
Please include this year
Please indicate how strongly you agree or disagree with each of the following statements:
Strongly Disagree
Disagree
Neutral
Agree
Totally Agree
N/A
The vision for technology use has been effectively communicated.
1
2
3
4
5
6
Administrators support changes in school-level systems, policies, and practices related to technology.
7
8
9
10
11
12
When administrators are seeking or hiring teachers, they consider technology literacy and leadership for technology as criteria for selection.
13
14
15
16
17
18
Teachers and students have sufficient computer hardware available for their use.
19
20
21
22
23
24
Electronic systems for communicating within the school are adequate.
25
26
27
28
29
30
Electronic systems for communicating with families are adequate.
31
32
33
34
35
36
Students with disabilities have appropriate and adequate access to adaptive and assistive devices.
37
38
39
40
41
42
Library media coordinator and/or media assistant positions are adequately staffed.
43
44
45
46
47
48
Teachers and students have ready access to productivity software.
49
50
51
52
53
54
Teachers and students have ready access to a good collection of print, multimedia, and electronic resources.
55
56
57
58
59
60
Please indicate how strongly you agree or disagree with each of the following statements:
Strongly Disagree
Disagree
Neutral
Agree
Totally Agree
N/A
I can use r
esearch-based practices
in my teaching.
61
62
63
64
65
66
I can use i
dentification, location, and evaluation of technology resources
with my students.
67
68
69
70
71
72
I can use the technology to collect and analyze student assessment data.
73
74
75
76
77
78
I can use learner-centered teaching strategies that incorporate technology.
79
80
81
82
83
84
Ways to use technology to communicate and collaborate with families about school programs and student learning is easy.
85
86
87
88
89
90
Use of research or action research projects to improve technology-enhanced classroom practices is easy.
91
92
93
94
95
96
Use of technology to participate in professional development activities is easy.
97
98
99
100
101
102
Please indicate how frequently each following statements happens:
Daily
Weekly
Monthly
Each Semester
Never
N/A
Students use a variety of technologies, e.g., productivity, visualization, research, and communication tools.
103
104
105
106
107
108
I identify, locate, and evaluate technology resources.
109
110
111
112
113
114
I use technology regularly to collect and analyze student assessment data.
115
116
117
118
119
120
My lessons include technology-enhanced, learner-centered teaching strategies.
121
122
123
124
125
126
I use technology to differentiate instruction for students with special learning needs.
127
128
129
130
131
132
I use technology to communicate and collaborate with families about school programs and student learning.
133
134
135
136
137
138
I do research or action research projects to improve technology enhanced classroom practices.
139
140
141
142
143
144
I use technology to participate in professional development activities.
145
146
147
148
149
150
Students use a variety of technologies.
151
152
153
154
155
156
Students use technology to access online resources and information as a part of classroom activities.
157
158
159
160
161
162
Students use the same kinds of tools that professional researchers use, e.g., simulations, databases, satellite imagery.
163
164
165
166
167
168
Students use technology to help solve problems.
169
170
171
172
173
174
Students use technology to support higher-order thinking, e.g.,analysis, synthesis, and evaluation of ideas and information.
175
176
177
178
179
180
Students use technology to create new ideas and representations of information.
181
182
183
184
185
186
Submit
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