Survey of Student Access to Technology at Home
Email address *
Your Name *
What type of technology do you have reliable access to at home? (Check all that apply) *
How do you access the Internet at home? *
If you have Broadband Internet is it reliable? *
Are you able to access and /or use your device to do school work? *
Overall, how comfortable are you using a digital device for school work? *
Not comfortable at all
very comfortable
How many members of your household share the device you might use for homework or schoolwork? *
If you don't have access to the Internet or a device at home, do you have other ways to use the Internet outside of school? *
Will you be helping to care for other children in the house or doing family chores...etc. while you are home that might make it difficult to participate in a live stream class session at a designated time? *
What would you like your teacher to know about technology and you? *
What are you parent preferences for digital communication from your teacher? (Check all that apply) *
Anything else that you would like to share about technology in your home? *
Anything else that your teacher should know about you being able to use technology to complete your school work? *
Do you have transportation to the school for student packet pickups and or grab n go meals? *
Is there anything else that Joy should know about your access to transportation to the school? *
What questions or comments do you have about getting school work, food, school materials, during the Governor's mandated school closing? *
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This form was created inside of Leona Group.