tQUEST BOTSWANA 2018 REGISTRATION/SURVEY FORM

FULL NAME(S)

COMPANY/BUSINESS NAME

MARK YOUR AGE GROUP [20 AND BELOW] [21 – 35] [35 AND ABOVE]

TECHNICAL LEVEL [I KNOW NOTHING] [BEGINNER] [PRACTIONER] [EXPERIENCED]

CHECK ITEMS YOU OWN [SMART PHONE] [LAPTOP/DESKTOP] [TABLET]

ON AVERAGE, HOW MANY HOURS DO YOU SPEND ON THE INTERNET PER DAY?

[0-5] [6-10] [11-18] [18-24]

CONTACT DETAILS: EMAIL: PHONE:

HOW DID YOU LEARN ABOUT THIS COFERENCE?

1. INTERNET 2. FRIEND/COLLEAGUE 3. OTHERS (Please specify) DATE: