At-home Technology Questionnaire
Complete only once per household. This should only take a few minutes to complete.
As the parent/guardian, please provide your first and last name.
My student(s) has/have convenient daily access to a tech device for learning and Internet access at home.
My student(s) has/have both a device and Internet access
Have Internet, but not a device
Have a device, but not Internet
Do not have a device nor Internet
Please provide a phone number and/or an email address in which we can contact you to provide any additional info or have further questions for you.
Never submit passwords through Google Forms.
This form was created inside of Springfield Public Schools.