Technology Questionnaire from Erving Elementary School
Parent / Guardian Name *
Your answer
Your student(s) name (Please enter all names if more than one) *
Your answer
Grade(s) (Please check all that apply) *
Does your student(s) have access to a device at home: *
If you have a device at home, what do you have? (Please check all that apply)
Desktop Computer
Laptop Computer
Do you have internet access at home? *
If you have internet at home, rate the quality of service
Very Slow (Poor)
Very Fast (Excellent)
How comfortable is your student with using technology to complete classwork at home? *
Not comfortable at all (Need extra support)
Very comfortable (Can use tech with ease)
How comfortable are you with using video conferencing tools like Zoom or Google Hangouts
Not comfortable at all (Need extra support)
Very comfortable (Can use these tools with ease)
Is there anything else you'd like to tell us about your student(s) ability to do school work at home that requires technology and/or the Internet?
(e.g., you have to share your wifi with a spouse or children who stream videos; you have to share your device with family members; your device hasn't been reliable lately)
Your answer
Additional comments?
Your answer
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