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Information
and
Communications
Technology
Needs
Assessment
Survey
SURVEY
INSTRUMENT
Before
beginning
the
survey,
please
assure
us
that
you
read
the
attached
consent
form
by
answering
this
question:
I
have
read
and
signed
the
consent
to
participate.
(Fill
in
the
circle
that
applies)
¡
Yes
¡
No
INSTRUCTIONS
1. In
this
survey,
except
where
explicitly
stated,
the
term
“computer
technology”
is
meant
to
include
all
forms
of
electronic
computing
devices,
such
as
desktops
(e.g.,
PC,
Mac),
laptops
(e.g.,
Macbook
Air,
Microsoft
Surface
Book),
tablets
(e.g.,
iPad,
Amazon
Kindle
Fire),
smart
watches
(e.g.,
Apple
Watch,
Pebble
Watch),
and
smart
phones
(e.g.,
iPhone,
Samsung
Galaxy).
2. Please
fully
fill
in
the
circle
(¡)
to
reflect
your
choice.
Section A. Technology for Personal Use
1. At
home,
does
anyone
in
your
household
access
the
Internet
using
these
methods?
(select
all
that
apply)1
o
o
o
o
o
o
o
o
Dial-‐up
modem
DSL
Cable
modem
Fiber-‐optic
o
Satellite
We
are
not
connected
to
the
Internet
in
my
household
Mobile
Other
________
I
don’t
know
2. How
many
hours
per
week,
on
average,
do
you
typically
use
computer
technology
for
your
personal
use?
(For
each
of
the
following
items,
fill
in
the
circle
that
best
applies
to
your
usage)2
Equipment
a. Desktop
computer
(e.g.,
PC,
Mac,
Dell,
HP)
b. Laptop
(e.g.,
MacBook
Air,
Acer
Chromebook,
HP
Stream,
Toshiba
Satellite)
c. Tablet
(e.g.,
iPad,
Amazon
Kindle
Fire,
Google
Nexus)
d. Smartphone
(e.g.,
iPhone,
Samsung
Galaxy,
Blackberry,
Windows
Phone)
e. Smart
watch
(e.g.,
Apple
Watch,
Pebble
Watch,
LG
Watch)
f. Other________
1–4
hrs.
5–9
hrs.
10–15
hrs.
>15
hrs.
I
don’t
use
this
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
3. How
often
do
you
use
these
information
sources
for
personal
purposes?
(Check
all
that
apply)3
Traditional
Mediums
a. Newspaper(s),
Print
(e.g.,
New
York
Times;
Boston
Globe;
local
paper)
b. Magazine(s),
Print
(e.g.,
Time;
Life;
U.S.
News
and
World
Report;
Trains)
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
page 1
–
Please
go
on
to
next
page…
Never
Rarely
Sometimes
Frequently
¡
¡
¡
¡
¡
¡
¡
¡
Traditional
Mediums
Never
Rarely
Sometimes
Frequently
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
c. Newsletter(s),
Print
(e.g.,
train
company;
community;
county;
hobby)
d. Bulletin
Board
Postings
(e.g.,
town
hall,
city
hall;
school
postings;
crew
room)
e. Meetings
and
gatherings
(e.g.,
union
meetings;
crew
meetings;
town
hall
gatherings;
private
organization
meetings)
f. Other
______________
Online
or
Electronic
Mediums
g. Newspaper(s),
Online
(e.g.,
nytimes.com;
latimes.com)
h. Magazine(s),
Online
(e.g.,
thedailybeast.com;
trn.trains.com)
i. Television
(e.g.,
daily,
nightly,
morning
news)
j. Email
lists
(e.g.,
listservs
like
bit.listserv.trans-‐l;
advertisements;
club
notices)
k. Internet
Websites
(e.g.,
cnn.com;
fivethirtyeight.com;
progressiverailroading.com;
railwayage.com)
l. RSS
Feeds
(e.g.,
stock
market;
news
sites;
railroad
company
feed)
m. Podcasts
(e.g.,
letstalktrains.com)
n. Blog
Sites
(e.g.,
gizmodo.com;
mashable.com;
tmz.com)
o. Online
communities
(e.g.,
FaceBook;
Twitter;
Pinterest;
Instagram)
p. Other
______________
Never
Rarely
Sometimes
Frequently
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
Section B. Technology Use at Work
Note
to
participant:
The
following
question
asks
about
your
computing
technology
use
at
work.
We
assume
that
computers
or
mobile
devices
may
sometimes
be
forbidden
at
work.
The
question
is
intended
to
learn
about
other
times
you
are
on
the
clock
and
computers
and
mobile
devices
are
NOT
forbidden.
4. How
many
hours
per
week
on
average,
do
you
typically
use
personal
computer
technology
at
work,
for
work
purposes?
(For
each
of
the
following
items,
fill
in
the
circle
that
best
applies
to
your
usage)4
Equipment
1-‐4
hrs.
5-‐9
hrs.
10-‐15
hrs.
>15
hrs.
I
don’t
use
this
a. Desktop
computer
(e.g.,
PC,
Mac)
b. Laptop
(e.g.,
MacBook
Air,
Microsoft
Surface
Book)
c. Tablet
(e.g.,
iPad,
Amazon
Kindle
Fire)
d. Smartphone
(e.g.,
iPhone,
Samsung
Galaxy,
Blackberry,
Windows
Phone)
e. Smart
watch
(e.g.,
Apple
Watch,
Pebble
Watch,
LG
Watch)
f. Other________
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
page 2
–
Please
go
on
to
next
page…
Section C. Computer Technology Skills & Attitudes
5. How
confident
are
you
in
performing
these
information
and
communication
technology-‐related
tasks?5
a. Basic
computer
operations
(e.g.,
turn
on-‐off
computer,
adjust
volume,
open
document,
close
and
save
documents,
use
the
mouse
and/or
touch
pad).
b. Performing
a
safe
reboot
of
the
operating
system
with
keystrokes.
c. Printing
materials
from
the
internet.
d. Using
computer
and
technology
safety
protection
(e.g.,
firewall,
antivirus,
spyware).
e. Creating
folders
to
organize
computer
files.
f. Identifying
the
difference
between
closing,
minimizing,
or
hiding
windows
and
quitting
a
program.
g. Downloading
and
installing
software.
h. Sending
e-‐mail.
i. Using
an
Internet
search
engine
(e.g.
Google,
Bing,
or
Yahoo)
to
find
information.
j. Keeping
track
of
Web
sites
visited
so
that
you
can
return
to
them
later.
(e.g.,
using
bookmarks).
k. Locating
and
subscribing
to
blogs,
newsfeeds,
and
other
news-‐related
online
services.
l. Using
social
media
sites
like
Facebook,
Twitter,
Instagram,
Foursquare,
LinkedIn,
etc..
m. Uploading
photos
or
videos
to
online
websites
(e.g.,
YouTube,
Facebook,
Twitter,
Tumbler).
n. Completing
video-‐based
training
on
the
Internet.
o. Using
productivity
tools
(e.g.,
word
processor,
spreadsheet,
database,
slide
presentation).
p. Recording
audio
files
on
a
computer
or
smart
technology.
q. Creating
and
editing
graphics
for
multimedia
presentations
or
for
web
pages.
r. Creating
an
Internet
home
page
(other
than
social
media
sites
like
Facebook
and
Twitter).
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
Not
at
all
confident
Slightly
confident
Somewhat
confident
Moderately
confident
Extremely
confident
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
¡
page 3
–
Please
go
on
to
next
page…
6. Which
option
best
describes
your
agreement
with
these
statements?6
Strongly
Disagree
Undecided
Disagree
Agree
Strongly
Agree
a. I
would
be
interested
in
finding
entertainment
on
the
Internet.
¡
¡
¡
¡
¡
b. I
think
almost
everyone
could
benefit
from
using
the
Internet.
¡
¡
¡
¡
¡
c. I
frequently
use
the
Internet
to
look
up
things
that
interest
me.
¡
¡
¡
¡
¡
d. I
don’t
like
to
use
computers.
(Reverse
coded)
¡
¡
¡
¡
¡
e. Computers
can
be
a
great
source
of
entertainment.
¡
¡
¡
¡
¡
f. I
do
not
consider
owning
a
computer
to
be
a
necessity.
(Reverse
coded)
¡
¡
¡
¡
¡
g. Working
with
computers
and
the
Internet
can
be
enjoyable
and
stimulating.
¡
¡
¡
¡
¡
h. I
do
not
find
surfing
the
Internet
relaxing
and
pleasurable.
(Reverse
coded)
¡
¡
¡
¡
¡
i. I
don’t
like
to
use
the
Internet.
(Reverse
coded)
¡
¡
¡
¡
¡
j. Computers
are
useful
educational
tools.
¡
¡
¡
¡
¡
Section D. FRA Initiative Familiarity
Note
to
participant:
The
following
questions
ask
about
the
Railroaders’
Guide
to
Healthy
Sleep,
a
Federal
Railroad
Administration
initiative.
We
are
hoping
to
learn
how
much
people
know
about
and
have
used
this
resource.
Answers
will
not
be
used
to
identify
any
individual.
7. Are
you
familiar
with
the
Railroaders’
Guide
to
Healthy
Sleep
website?7
o
o
Yes
(if
yes,
please
go
to
question
8)
No
(if
no,
please
skip
to
question
13)
8. When
is
the
last
time
you
visited
the
website?8
o
o
o
o
o
Within
the
last
week
More
than
a
week
ago,
but
within
the
last
month
More
than
a
month
ago,
but
within
the
last
6
months
More
than
6
months
ago,
but
within
the
last
year
I
have
never
visited,
but
I
have
heard
of
it
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
page 4
–
Please
go
on
to
next
page…
9. How
often
do
you
visit
the
website?9
o
o
o
o
Once
a
week,
or
more
Once
a
month
Once
every
6
months
or
so
I
do
not
visit
the
site
regularly
10. Have
you
completed
the
Anonymous
Sleep
Disorders
Screening
Tool
on
the
website?10
o
o
o
Yes
(if
yes,
please
go
to
question
11)
No
(if
no,
please
skip
to
question
13)
I
do
not
know
what
this
is
11. Did
the
results
recommend
that
you
see
your
healthcare
provider
for
a
possible
sleep
disorder?11
o
o
o
Yes
(if
yes,
please
go
to
question
12)
No
(if
no,
please
skip
to
question
13)
Decline
to
respond
12. Did
you
see
a
healthcare
provider
for
a
possible
sleep
disorder,
based
on
this
recommendation?12
o
o
o
Yes
No
Decline
to
respond
Section E. Demographics
Note
to
participant:
The
following
questions
allow
us
to
group
responses
for
reporting
and
analysis
and
will
not
be
used
to
identify
any
individual.
13. How
many
years
have
you
worked
in
the
railroad
industry?13
(Please
write
the
years
in
the
top
boxes
and
fill
in
the
circles
below
that
correspond–
see
the
example
for
a
19-‐year
employee.
If
you
have
been
in
the
industry
less
than
1
year,
round
up
and
complete
as
1
year.)
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
page 5
–
Please
go
on
to
next
page…
EXAMPLE
Tens
Ones
1
9
0
0
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
0
0
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
14. What
type
of
work
do
you
currently
do?
(select
all
that
apply)14
o
o
o
Yard
operations
Local
freight
Passenger
or
commuter
operations
o
o
o
Road
freight
o
o
o
o
o
Yard
foreman
Hostler
Other
(please
explain
______)
15. What
is
your
current
position?15
o
o
o
o
o
Conductor
Brakeman
Trainman
RCL
operator
Hostler
Trainee
Locomotive
engineer
Switchman
Other
(please
explain
_______)
16. How
long
have
you
been
in
this
position?16
(Please
write
the
years
and
months
in
the
top
boxes
and
fill
in
the
circles
below
that
correspond–
see
the
example
for
a
11-‐month
employee.)
EXAMPLE for 11 Months
Years
0
Years
Months
0
1
1
0
0
0
0
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
0
0
0
0
1
1
1
1
2
2
2
2
3
3
3
3
4
4
4
4
5
5
5
5
6
6
6
6
7
7
7
7
8
8
8
8
9
9
9
9
17. What
is
your
sex?17
o Male
o Female
o Prefer
not
to
answer
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
Months
page 6
–
Please
go
on
to
next
page…
18. What
is
your
highest
level
of
education?18
o Junior
High
School
o Some
High
School
o GED
o High
School
Graduate
o Some
College
o Railroad
Trade
School
(e.g.,
MODOC)
o Associates
Degree
o Bachelor’s
Degree
o Master’s
Degree
o PhD
Degree
19. Have
you
obtained
a
professional
license
or
certificate?
(Please
write
in
any
work-‐related
license
or
certificate
you
have
obtained.)19
20. Please
enter
your
age?20
EXAMPLE
1
9
0
0
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
0
0
1
1
2
2
3
3
4
4
5
5
6
6
7
7
8
8
9
9
page 7
–
Please
go
on
to
next
page…
21. Which
race
/
ethnicity
best
describes
you?
(Please
answer
both
questions.
For
this
questionnaire,
Hispanic,
Latino,
and
Spanish
origins
are
not
races.)21
a. Are
you
of
Hispanic,
Latino,
or
Spanish
origin?
o No,
not
of
Hispanic,
Latino,
or
Spanish
origin
o Yes,
I
am
of
Hispanic,
Latino,
or
Spanish
origin
o Prefer
not
to
answer
b. What
is
your
race?
o White
/
Caucasian
o Black,
African
Am.,
or
Negro
o American
Indian
/
Alaska
Native
o Other
__________
(Please
specify)
o Prefer
not
to
answer
END
OF
SURVEY
– THANK
YOU!!!
–
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
page 8
–
Thank
you!
End
N otes
1
Question
1
asks
about
INTERNET
ACCESS.
It
was
slightly
adapted
from
Item#
NET4
of
the
US
Census
Bureau
Current
Population
Survey,
July
2013
-‐
Computer
and
Internet
Use
Supplement
Questionnaire.
The
original
question
was
"At
home,
does
anyone
in
this
household
access
the
Internet
using…".
Because
we
have
the
raw
data
and
reports
from
the
census
survey,
this
item
provides
the
value
of
comparing
the
sample
to
the
general
population.
-‐-‐
2
Question
2
provides
both
PERSONAL
ICT
EQUIPMENT
USAGE
and
PERSONAL
ICT
EQUIPMENT
OWNERSHIP
information.
It
was
adapted
from
Item#
PRIM2
US
Census
Bureau
Current
Population
Survey,
July
2013
-‐
Computer
and
Internet
Use
Supplement
Questionnaire.
-‐-‐
3
Question
3
provides
information
on
what
MEDIUMS
PARTICIPANTS
USE
TO
GATHER
INFORMATION.
It
was
adapted
from
item#
PRM15
US
Census
Bureau
Current
Population
Survey,
July
2013
-‐
Computer
and
Internet
Use
Supplement
Questionnaire.
-‐-‐
4
Question
4
is
similar
to
question
3
above,
providing
EQUIPMENT
USAGE
AT
WORK.
It
was
adapted
from
Item#
PRIM2
US
Census
Bureau
Current
Population
Survey,
July
2013
-‐
Computer
and
Internet
Use
Supplement
Questionnaire.
-‐-‐
5
Question
5
provides
insight
into
INTERNET
AND
COMPUTER
SKILLS
information.
The
matrix
prompt
was
adapted
from
Sleep
Health/Computer
Attitude
Questionnaire
and
Wilkinson
(2010)
instrument
to
measure
student
ICT
skills
(Computers
in
Human
Behavior,
26).
The
items
cover
5
constructs
(in
order):
computer
use
–
basic
(n=3),
computer
use
– advanced
(n=4),
internet
use
–
basic
(n=3),
internet
use
–
advanced
(n=4),
computer
use
–
specific
apps
(n=4).
-‐-‐
6
Question
6
includes
the
“approval”
construct
items
(n=10)
from
the
Technology
Profile
Inventory
(Spence,
DeYoung,
&
Feng,
2009,
Computers
in
human
behavior,
25,
458-‐465).
The
other
components
of
the
TPI
include
interest
and
confidence.
Other
than
using
these
10
items
as
a
standalone
ATTITUDES
TOWARDS
TECHNOLOGY
component,
we
intend
to
also
combine
this
component
with
the
equipment
usage
items
(analogue
to
interest)
and
the
skills
(analogue
to
confidence)
items
to
compute
a
technology
profile
that
reflects
the
constructs
of
the
TPI.
-‐-‐
7
Items
7-‐12
provides
AWARENESS
OF
FRA
INITIATIVES
and
was
written
by
Volpe
team.
-‐-‐
8
Item
8
is
intended
to
learn
when
they
last
accessed
RGHS
to
know
HOW
RECENT
is
their
AWARENESS
OF
THE
SITE
CONTENT.
--
9
Item
9
puts
an
IMPORTANCE
LEVEL
TO
THE
INFORMATION
for
each
participant.
Assumption:
the
more
important,
the
more
often
they
access
the
site.
--
10
Item
10
asks
if
the
participant
has
COMPLETED
THE
SCREENING
TOOL,
which
is
key
to
learning
if
the
site
has
had
any
impact
in
the
industry.
-‐-‐
11
Item
11
asks
about
their
ASSESSMENT
FROM
THE
TOOL.
From
a
behavior
modification
theory
of
change
perspective,
use
of
the
tool
and
gaining
a
‘positive’
assessment
are
essential
elements
in
the
causal
chain
from
using
the
site
to
getting
help.
-‐-‐
12
Item
12
gets
to
the
heart
of
it:
DID
THEY
SEEK
AND
GET
HELP
FROM
A
MEDICAL
PROFESSIONAL
BECAUSE
OF
AN
ASSESSMENT
FROM
THE
TOOL.
-‐-‐
13
Item
13
provides
demographic
information
about
HOW
LONG
THE
PARTICIPANT
HAS
BEEN
IN
THE
INDUSTRY
and
was
written
by
Volpe
team.
ICT NA Survey DRAFT 1/6/17
page 9
–
End
Notes
FRA F 241 (07/17)
-‐-‐
14
Item
14
provides
demographic
information
about
the
participant’s
TYPE
OF
WORK.
It
was
taken
from
FRA
F
6180.127
Train
and
Engine
Service
Employee
Background
Survey
question
#3
(https://www.gpo.gov/fdsys/pkg/FR-‐2008-‐12-‐
30/html/E8-‐30891.htm)
-‐-‐
15
Item
15
provides
demographic
information
about
the
participant’s
CURRENT
POSITION.
It
was
taken
from
FRA
F
6180.127
Train
and
Engine
Service
Employee
Background
Survey
question
#4
(https://www.gpo.gov/fdsys/pkg/FR-‐2008-‐
12-‐30/html/E8-‐30891.htm)
-‐-‐
16
Item
16
provides
demographic
information
about
HOW
LONG
THE
PARTICIPANT
HAS
BEEN
IN
THIS
POSITION
and
was
written
by
Volpe
team.
-‐-‐
17
Item
17
was
written
by
Volpe
team
to
gather
demographic
information:
SEX.
-‐-‐
18
Item
18
was
adapted
from
US
Census,
to
gather
PARTICIPANT
EDUCATION
https://www.census.gov/hhes/socdemo/education/about/
-‐-‐
19
Item
19
provides
demographic
information
about
ANY
LICENSES
OR
PROFESSIONAL
CERTIFICATIONS
and
was
written
by
Volpe
team.
-‐-‐
20
Item
20
was
written
by
Volpe
team
to
gather
demographic
information:
AGE.
-‐-‐
21
Item
21
was
adapted
from
item
8
on
the
US
Census
Bureau
2010
Census
to
gather
demographic
information:
RACE
AND
ETHNICITY
(http://www.census.gov/2010census/pdf/2010_Questionnaire_Info.pdf)
ICT NA Survey DRAFT 1/6/17
FRA F 241 (07/17)
page 10
–
End
Notes
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