Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Your nameFirstLastDo you use a smartphone, tablet, computer, or none at the moment?SmartphoneTabletComputer/LaptopNoneHave you had any prior experience with a smartphone, tablet or computer in the past?SmartphoneTabletComputer/LaptopNoneCan you turn a device on/off and charge it? *YesNoNot sureOtherCan you confidently find and connect to Wi‑Fi (or mobile data) and get online? *YesNoOtherCan you use email or text messages to communicate (send and read messages)? *YesNoOtherCan you navigate a computer easily? *YesNoNot sureCan you locate and open a browser (like Chrome/Safari)? *YesNoI don’t use the internetCan you navigate the internet and use the browser? (bookmarks, tabs, history, plugins) *YesNoOtherCan you create and remember a password (or use a password manager)? *YesNoI don’t have passwords/accountsIf you said yes: do you avoid reusing the same password and know not to share it?YesNoNot sureOtherCan you spot common internet and phone scams (including digital scams)? *YesNoNot sureI haven’t seen anyOtherIf you said yes: would you avoid clicking unknown links and avoid sharing bank details/codes?YesNoNot sureCan you use the internet to access your essential health services (for example NHS App/website, GP services, prescriptions, appointments)? *Yes confidentlyYes but I need helpNoNot sure / I haven’t triedIf you said yes: can you log in and find the section you need (appointments, messages, prescriptions)?YesNoNot sureNot applicable Can it? log Overall, how confident are you using tech? *Not confident at allA little confidentFairly confidentVery confidentAnything you would like help with (optional)?Submit
