LASD Internet/Wireless Survey
Please complete the following survey regarding Internet and wireless connectivity at your home.
Parent Last Name *
Your answer
Parent First Name *
Your answer
Does your household have Internet/wireless access? *
Describe any issues your household has with Internet/wireless access. *
Your answer
Describe any issues your family may have in completing school assignments at home during the closure. *
Your answer
Additional Comments or Concerns *
Your answer
Last Name of First Child in LASD *
Your answer
First Name of First Child in LASD *
Your answer
Grade Level of First Child in LASD *
Last Name of Second Child in LASD
Your answer
First Name of Second Child in LASD
Your answer
Grade Level of Second Child in LASD
Last Name of Third Child in LASD
Your answer
First Name of Third Child in LASD
Your answer
Grade Level of Third Child in LASD
Last Name of Fourth Child in LASD
Your answer
First Name of Fourth Child in LASD
Your answer
Grade Level of Fourth Child in LASD
Last Name of Fifth Child in LASD
Your answer
First Name of Fifth Child in LASD
Your answer
Grade Level of Fifth Child in LASD
Additional Children in LASD
Your answer
Submit
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