Give this out at the beginning of the school year to your students for a few different purposes:
1) It provides some insight into your students, and how they feel and prepare for your class.
2) As part of the assignment, you can have the students work it out and submit it back to you electronically through your schools online platform (Canvas, Aspen, Schoology, etc.).
a) You can give them instructions on how to use your specific platform.
b) It allows them an opportunity to troubleshoot with you in the first week of school with an assignment that does not have much academic pressure.
c) It can give you some insight on some of the technology constraints your students may have to deal with throughout the school year, and you can work with them to find ways around those constraints before a bigger homework or project is due.
With the Word Document, you can easily change any questions to suit your specific class or reword the instructions to fit your school's online platforms.