JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Parent Technology Survey
Sign in to Google
to save your progress.
Learn more
Do you have high speed internet in your home?
Yes
No
Clear selection
Does your child have access to any of the following for personal use?
Laptop computer
Desktop computer
Tablet (ipad, kindle etc)
Cellphone
Ipod touch or equivalent
Xbox, Playstation
If you are the parent of a 4th grader or above, will your child have a cell phone for personal use in the near future?
Yes
No
Clear selection
How many hours a day does your child use an internet connected device?
Less than 1 hour
1-2 hours
More than 2 hours
Clear selection
Do you monitor your child's online activity?
Yes
No
Clear selection
Do you require your child to ask permission to use the internet?
Yes
No
Clear selection
Does your child use any of the following?
Instant messaging
Skype or video conference
Chat rooms
Texting
Email
Does your child use any of the following?
Facebook
Twitter
instagram
Other
How often do you check your child's web browsing history?
Once a week
Once a month
Not at all
Clear selection
Do you have guidelines for your child's media usage?
Yes
No
Clear selection
Submit
Clear form
This form was created inside of Dover Elementary School.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report