Your Name *

Your address *

Do you have access to the internet? *

Yes

No

If yes - Wi-Fi or phone data only?

What do you use now to access the internet (if you do)?

What are your current skills level? Good, basic, or none? *

Do you need skills support? If so, what type of support do you think you need?

How often do you use tech? eg social media or Universal Credit etc *