LoTi Questionnaire

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 1/6
https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 2/6
https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 3/6
https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 4/6
https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 5/6
 Adopter Survey

Adopter Survey
Please answer each question to the best of your ability. Most questions will ask you to rank your
understanding, attitude, or disposition. Do your best to answer each question. If you are not sure about
how to answer a question, select N/A or a 3 for neutral

* Required

1. Your name (optional)

2. What role do you play in your building? *

Mark only one oval.

Teacher
Administrator
Media personnel
Principal
Clerk

Other:

3. Which statement is most closely aligned with your feelings about technology in general? *
Mark only one oval.

I love technology. I am always looking for the next gadget or software

I like technology and I use it regularly, but I don't actively seek out new technology--I wait until
I need to use it
I don't have a problem with technology I just don't have a passion for it
I do not like or support the direction that technology use is going
I actively reject technology use other than the minimum required use like email or cell phones

Other:

Disposition
For each statement below, select to what extent you agree or disagree. If you aren't sure or you do not
care either way, select neutral (or 3)

4. Technology has made the news media industry change too fast *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 6/6
 5. My department or school is making the best use of technology *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

6. I am highly aware of new technologies *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

7. It is easy for me to find and use new technologies *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

8. I use social media on a daily basis *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

9. When a new phone (or other type of technology) comes out, I will buy it whether I need it or
not *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

10. I prefer the school of thought “if it isn’t broken, don’t fix it’” *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

11. I like learning from my colleagues *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 7/6
2/23/2018 Adopter Survey
12. I thrive on the initiation of change *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

13. I am enthusiastic about change *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

14. I like new ideas and new ways of doing things *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

15. I will only try new things if I am required to *

Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

16. I will only try something new if I WANT to try something new *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 8/6
2/23/2018 Adopter Survey
17. How would you describe your overall attitude towards technology integration? Select all that
apply *
Check all that apply.

Excited
Nervous
Cautious
Cautiously optimistic
Scared
Curious
Anxious
Confident
Guarded
Lagging
Adventurous
Noncommittal
Leading
Ambitious
Reluctant

Usage
For each statement below, select the answer choices that best apply to you

18. How much time per day do you spend using technology of some kind *
Mark only one oval.

0-2 hours
3-5 hours
6-8 hours
9-12 hours
more than 12 hours

19. How many pieces of technology do you usually have accessible at any moment? (phone,
computer, Bluetooth, mp3 player, iPad, tablet etc) *
Mark only one oval.

0
1
2
3
4
5 or more

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 9/6
2/23/2018 Adopter Survey
20. Technology is readily available in my building *
Mark only one oval.

1 2 3 4 5

Strongly diasgree Strongly Agree

21. How often does your department or school encourage you to try new technology? *
Mark only one oval.

daily
weekly
monthly
once a year
once or twice per semester

22. How often do you seek out and attend professional learning opportunities on your own? *
Mark only one oval.

never
daily
weekly
monthly
once a year
once or twice per semester

23. How often do you try out new technology tools in your classroom? *
Mark only one oval.

never
daily
weekly
monthly
once a year
once or twice per semester

24. How often do you use social media? *

Mark only one oval.

never
daily
weekly
monthly

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 10/
6
2/23/2018 Adopter Survey

25. How would you rank the level of support you receive from your department or administration?
*

Mark only one oval.

zero support
occasional support
moderate support
consistent support
extensive support

26. How would you rate the speed at which your school keeps up with new technologies? *
Mark only one oval.

1 2 3 4 5

Extremely Slow Extremely Fast

Powered by

https://docs.google.com/forms/d/1uQl_YwpZ11vliYDG_oR7uJyoHvtLECxP_Yt5BSRpGW0/edit 11/
6