The document describes a survey instrument used to assess student teachers' competence in information and communication technology (ICT). It has four sections: demographics, attitude towards ICT, sources of ICT knowledge/skills, and ICT competence in areas like basic computer operations, software applications, internet use, and peripherals. The instrument was tested on 50 students for validity and reliability. 500 copies were distributed, with 382 returned and usable. Responses were analyzed using descriptive statistics and chi-square to test hypotheses about ICT competence and attitude.