Technology Usage Survey

Contact Information

First Name

Last Name

Address

City

State

Postal code

Birthday

Phone Preferences

Telephone

Phone Usage
(low to high)

Phone Brand

If other

Social Media Preferences

Which social media apps do you use?

Instagram:
TikTok:
Reddit:
Discord:
Snapchat:
Meetup:
Facebook:
Messenger:
Twitch:
X (Twitter):
LinkedIn:

Other:

Music Preferences

Which music apps do you use?
(CTL + Click)

Other:

Comments/
Questions