OLQMCA Family Survey for Distance Learning
* Required
Email address
*
Your email
Family Last Name
*
Your answer
Child's name (Please complete one survey for each child)
*
Your answer
Student Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Do you have a stable internet connection at home?
*
Yes
No
Do you have a compter or personal device with internet connection for each of your K-8 children to access at home?
*
Yes
No
What type(s) of personal devices are available to your children in your home? Check all boxes that apply.
*
iPad
Other Tablet
Chromebook
Laptop with webcam
Laptop without webcam
Desktop with webcam
Phone with wifi access
Headset/earphones with microphone
Headset/earphones without microphone
External speakers
Gaming System
None of the above
Other:
Required
Would you need to borrow a device from OLQMCA?
Yes
No
Clear selection
Do you have a working printer?
*
Yes
No
Do you have a working scanner?
*
Yes
No
Do you and/or your child know their Google username and password?
*
Yes
No
Are there any concerns you have about your child's ability to access a device?
Your answer
General questions or concerns about distance learning?
Your answer
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