for phyllis young only
“Check Your Tech”
Home Technology Inventory
Please enter the number of each kind of device you own. It may help to print this list and walk through your home to do the count.
Note: Some devices may be combined, such as a stereo with radio, CD, Cassette; or an “All-in-One printer/scanner/fax. Count each “function” as a separate device)
Electronic Devices:
__1__ Cell Phones/Smartphones
____ Telephones (Land Lines)
___1_ Personal Computers (including Laptops)
____ Printers
____ Scanners
____ Fax
____ Tablets (iPad, etc.)
____ EReaders (Kindle, Nook, etc.)
____ Gaming Systems (Xbox, GameCube, Nintendo, etc. )
____ Handheld Games
____ Personal Media Players (iPod, MP3 players, etc.)
_3___Televisions
__2__ Media Players (DVD, Blu-Ray, VHS)
____ Cable Boxes
__1__ Satellite Dish (in use)
____ Stereo System
___1_ Radio
____ Portable Stereos
____ Audio Cassette Players
____ CD Players
____ Turntables (For vinyl records)
How often do you use this device?
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
Major Appliances:
__1__ Washers
__1__ Dryers
____ Refrigerators
____ Freezers (Stand-alone)
___1_ Oven/Stove
____ Microwaves
____ Small Countertop Appliances (e.g., Toasters, Blenders, Waffle Iron, Juicers, etc.)
__1__ Central Heating
____ Central Air Conditioning
__2__ Air Conditioners (Window Units)
____ Portable Heaters
____ Portable Fans
____ Humidifiers
____ Dehumidifiers
____ Air Filtering devices
____ Vacuum Cleaners
____ Power Tools (Drill, Circular Saw, Sander, etc)
____ Yard Tools, powered. (Mower, Snow Blower, Weed Whip, Chain Saw, etc.)
____ Lamps (plug in)
____ Installed lights (e.g., on ceiling)
____ Other: ________________________
____ Other: ________________________
____ Other: ________________________
____ Other: ________________________
____ Other: ________________________
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
___Often __Sometimes ___Rarely
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