Parent Internet & Technology Survey (Initial)
Please complete the following survey for each child/household.
Your Full Name *
Your answer
Your Child's First Name *
Your answer
Your Child's Last Name *
Your answer
School of Attendance *
Your answer
Please indicate your child's grade level *
K
1
2
3
4
5
6
7
8
9
10
11
12
Select One
Home Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Do you have access to high-speed internet at home? *
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