Distance Learning Home Tech Survey
In preparation for a possible school closing due to COVID-19, complete the following survey in regards to distance learning. *Please fill out a form for each child.* This is strictly for preparation purposes only.

Please note that Bennett Day Distance Learning will use the Google Classroom platform. Your classroom teachers will work with you/your family, in becoming familiar with Google Classroom and related Google products should the need rise.



Email address *
Your Name *
Your answer
Do you have internet access at your home? *
Child 1 Name (Last, First) *
Your answer
Child 1 Grade *
Child 1: Which of the following devices will Child 1 have access to for at least 3 hours a day. (Please check all that apply) *
Required
Child 2 Name (Last, First)
Your answer
Child 2 Grade
Child 2: Which of the following devices will Child 2 have access to for at least 3 hours a day. (Please check all that apply)
Child 3 Name (Last, First)
Your answer
Child 3 Grade
Child 3: Which of the following devices will Child 3 have access to for at least 3 hours a day. (Please check all that apply)
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