D6 Digital Access Survey for Students

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This survey is being used to determine at home internet access and device needs.

Student ID *

First Name *

Last Name *

Grade *

Which of the following do you have access to in your home? Please check all that apply. * *

Smartphone

Tablet

iPad

Laptop Computer

Desktop Computer

I have no device in my home capable of connecting to the internet

Other:

Required

Is the device listed above shared with multiple students in your family? *

Yes - 1 other student

Yes - 2 other students

Yes - 3 or more other students

Other:

Do you currently have internet access in your home? *

Yes

Yes, but a limited data plan.

Other:

If you do not have a way to get on the internet at home, where do you access the internet outside of school?

Library

Neighbor

Friends house

Family members home

Parent or guardians work

Restaurant, store or coffee shop

Other:

Have you participated in online learning in your current or past classes? *

Yes

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This form was created inside of Weld County School District 6.

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