Who are you?
Agency
Address
City, State, & Zip
Phone
- -
Fax
- -
E-Mail
Person(s) completing this form & title(s)
What best describes your organization's services?
Arts & Humanities Child Care Education
Foundation Government Health Care
Human Services Professional Association Recreation
Other
What is your organization's overall 1999 budget?
$0-$49,999 $500,000-$999,999
$50,000-$99,999 $1,000,000-$1,999,999
$100,000-$499,999 More than $2,000,000
What are your plans?
Do you currently have a technology budget?
Do you plan on having a technology budget in the near future?
Do you need assistance in developing a technology budget?
Do you currently have a marketing and communications budget?
If so, does it include high-tech tools such as websites, e-mail, etc.?
If not, do you need assistance in integrating technological tools into your marketing and communications plan?
Is your agency currently able to use technology to communicate with service recipients, donors, volunteers, media contacts, board members, etc.?
4
Do you need assistance in getting these capabilities?
5
Do you need assistance in increasing the number of computers?
Do you need assistance in training your staff to use computers?
6
7
8
Do you feel you have adequate computer equipment for current and future needs?
If you have computers older than 3 years, do you have a replacement plan in place?
9
Do you feel you have adequate support for current and future needs?
What do you need to have?
10
What types of applications do your employees use currently? Please check all that apply ...
Word processing (e.g., MS Word)
Spreadsheet (e.g., MS Excel)
Database (e.g., MS Access)
Financial (e.g., Quicken)
Client record management
Graphic design (e.g., PageMaker, Quark)
Presentation (e.g., PowerPoint, Persuasion)
Website authoring tools
Interoffice e-mail
Scheduling/personal information
Electronic submission of reports, billing, proposals, etc.
Fund-raising
Web browsers (e.g., MS Explorer, Netscape)
Other
None of the above
Are these applications consistent throughout your agency (i.e., are all your word processing programs the same?)
11
If your employees are not using the following applications, which would you like them to use? Please check all that apply ...
Word processing (e.g., MS Word)
Spreadsheet (e.g., MS Excel)
Database (e.g., MS Access)
Financial (e.g., Quicken)
Client record management
Graphic design (e.g., PageMaker, Quark)
Presentation (e.g., PowerPoint, Persuasion)
Website authoring tools
Interoffice e-mail
Scheduling/personal information
Electronic submission of reports, billing, proposals, etc.
Fund-raising
Web browsers (e.g., MS Explorer, Netscape)
Other
None of the above
12
Are your computers networked to each other?
Are your computers networked to a server?
Do you feel your current network meets your current/future needs?
Do you plan on installing/upgrading your network in the near future?
Do you need assistance in installing/upgrading your network?
13
Do you have access to the internet at work?
If no, do you plan on getting access to the internet within the near future?
Do you need assistance in getting access to the internet?
Do you use your access to the internet at home for business?
Yes No
Does your agency have a website?
If no, do you plan on getting a website within the near future?
Do you need assistance in developing a website?
15
16
Are you satisfied with your website content?
Are you satisfied with the responses to your website?
Are you satisfied with your website support?
Do you need additional website support?
17
Are you satisfied with this update schedule?
If you are not satisfied, what prevents you from modifying it?
18
19
20
What other advantages or disadvantages to you believe a website could offer your agency?
21
Who would you want to visit your website? How would you publicize it?
What are your training needs?
22
23
Do you feel your staff gets adequate training?
Would you be interested in enrolling your staff in Project Connect 's training seminars?
24
Which seminars would your staff benefit from attending? Please check all that apply ...
Getting started on computers
Getting started on the internet
Word processing (e.g., MS Word)
Spreadsheet (e.g., MS Excel)
Database (e.g., MS Access)
Financial (e.g., Quicken)
Client record management
Graphic design (e.g., PageMaker, Quark)
Presentation (e.g., PowerPoint, Persuasion)
Website authoring tools
Interoffice e-mail
Scheduling/personal information
Electronic submission of reports, billing, proposals, etc.
Fund-raising
Year 2000 issues (Y2K)
Other
25
Are you interested in participating in Project Connect?
26
27
What advantages to you see to increasing your agency's technological capabilities?
28
Are you interested in participating in Project Connect ?
29
Given your understanding of the project, what kind of assistance do you need?
30
31
Based on your understanding of this initiative, what would you expect to accomplish in the next year?