WSD / Digital Equity Survey

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Student Name *

Student Grade *

6th

7th

8th

Does this child have internet access at home? *

Yes

If there is NO internet access, what is the reason this child does Not have internet access? *

Not available

Not Affordable

Other

What type of internet access does this child have? (select ONE of the following) *

Residential Broadband- ex- SATCO, ATT, EarthLink

Cellular Network-ex- ATT, Verizon, TMobile

Hotspot-ex- a separate Hotspot Device

Community Provided WI-FI

Satelite- ex- Viasat, HughesNet

Other

None

Unknown

Is Internet Performance acceptable for learning activities? (Select ONE of the following) *

Yes - Experiences very few or no interruptions in learning activities caused by poor internet performance in the primary place of residence.

Sometimes - regularly experiences interruptions in learning activities caused by poor internet performance in the primary place of residence.

No - unable to complete learning activities due to poor internet performance in the primary place of residence.

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