Digital Equity & Home Internet Access Survey
The information from this survey will help us to better understand the impact that home digital access has on learning outcomes, determine which students are in need of access, determine effective connectivity solutions, and assess options for state and federal funding. We appreciate your assistance in helping us collect this information. Please complete this survey by November th.
Please fill out a survey for each of your students.
Student's First Name
Student's Last Name
Does the student have a learning device at home?
Is the learning device a personal device or is it school provided? Is the learning device shared with anyone else in the household?
Personal - Dedicated (one person machine)
Personal - Shared (shared among others in the household)
School provided - Dedicated
School provided - Shared
What type of learning device does this student use at home?
Can the student access the internet on their learning device at home?
No - Not available
No - Not affordable
No - Other
What is the primary type of internet service used at your residence?
Residential broadband (e.g., DSL, Cable, Fiber)
Can the student stream a video on the learning device without interruption?
Yes - No issues
Yes - But not consistent
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This form was created inside of Ansley Public Schools.