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Digital Equity Survey
PURPOSE: To verify the need of students in order to ensure all students have equal access to technology as well as the necessary tools. Please fill out 1 SURVEY per student.
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* Indicates required question
Student's Last Name that claim this primary residence.
*
Your answer
Student's First Name that claim this primary residence.
Your answer
Grade Level
*
Choose
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
Other
Primary residence address - Street Address or P.O. Box
*
Your answer
Town
Your answer
Zip Code
Your answer
What device does the student most often use to complete school work at home?
*
1: Desktop/Laptop
2: Tablet
3: Chromebook
4: SmartPhone
5: Other
6: None
Is the primary learning device a personal device or school-provided? Is the primary learning device shared with anyone else in the household?
*
1: Personal - Dedicated (one person per machine)
2: Personal - Shared (sharing among others in household)
3: School Provided - Dedicated
4: School Provided - Shared
5: None
Can the student access the internet on their primary learning device at home?
*
1: Yes
2: No - Not Available
3: No - Not Affordable
4: No - Other
What is the primary type of internet service used at the residence?
*
1: Residential Broadband (e.g., DSL, Cable, Fiber)
2: Cellular Network
3: School-Provided HotSpot
4: Satellite
5: Dial-up
6: Other
7: None
Can the student stream a video on their primary learning device without interruption?
*
1: Yes - No issues
2: Yes - But not consistent
3: No
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