Internet & Health Survey
What school(s) does your child/children attend?
What is your child/children names and grades?
Do you have internet?
What speed of internet?
Does your child have access to a device at home that is capable of supporting online platforms like Google Classroom, Zoom, video player, etc. Include school devices in answer?
Has there been travel within the last 14 days in state or country identified as a hot spot?
Has there been any exposure to an individual diagnosed with COVID-19?
Is anyone in the home/family showing signs of illness including a fever greater than 100 degrees, cough, or shortness of breath?
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This form was created inside of USD 223 Barnes-Hanover-Linn.