Technology Information Collection
Please provide the following information about your technology usage and devices.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Type of Device Used
*
Please Select
Desktop
Laptop
Tablet
Smartphone
Other
Operating System
*
Please Select
Windows
macOS
Linux
Android
iOS
Other
Primary Use of Device
*
Please Select
Work
Education
Entertainment
Communication
Other
Internet Service Provider
*
Average Daily Usage (hours)
*
Additional Comments or Information
*
Submit
Should be Empty: