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PK-6 GEERS Grant Student Internet Survey
This survey is to provide data to support a grant that promotes technology equity among students at Hershey. One form per household.
* Indicates required question
Your First and Last Name
*
Your answer
Student #1
*
Please list all PK through 6th Grade students in the home who attend Hershey.
Your answer
Student #2
Your answer
Student #3
Your answer
Student #4
Your answer
Student #5
Your answer
Student #6
Your answer
I have Internet at home.
*
Yes.
No - It's not available where I live.
No - It's too expensive.
Required
My main Internet access at home comes from _________.
*
Residential Broadband (DSL, Fiber, Cable, etc)
Cellular Service (phone hotspot, mobile mi-fi)
Satellite
Dial-Up
Other:
Required
The company that provides my Internet is _____________.
Allo
Spectrum
Hershey Tel
Verizon
Dish/Direct TV
Not sure
Century Link
Other:
The MAJORITY of the time, how consistent is your Internet connection?
*
Always - it works great!
Sometimes - but not consistent.
Never - it never works.
I do not currently have access to Internet.
Required
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