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Digital Access Survey
To better serve our community and to comply with NYSED reporting requirements, please fill out this short 9 question survey so we can assess the access to internet services in your home. All responses are kept strictly confidential. We appreciate the opportunity to assist in getting broadband internet available to all areas in our school district.
NYSED REQUIRES ONE SURVEY FOR EVERY CHILD IN THE HOME.
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Please fill out one survey per child as the answers may vary. Name of child you are responding for:
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Your answer
#1 Did the school district issue your child a dedicated school or district-owned device for their use during the school year?
Choose
Yes
No
#2 What is the device your child uses most often to complete learning activities away from school? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork).
Choose
Desktop
Laptop
Tablet
Chromebook
Smartphone
No Device
#3 Who is the provider of the primary learning device identified in Question 2? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.)
Choose
School
Personal
none
#4 Is the primary learning device (identified in Question 2) shared with anyone else in the household?
Choose
Shared
Not shared
No device
#5
Is the primary learning device (identified in Question 2) sufficient for your child to fully participate in all learning activities away from school?
Choose
Yes
No
#6 Is your child able to access the internet in their primary place of residence?
Choose
Yes
No
#7
What is the primary type of internet service used in your child’s primary place of residence?
Choose
Residential Broadband
Cellular
Mobile Hotspot
Community WiFi
Satellite
Dialup
DSL
Other
None
#8
In their primary residence, can your child complete the full range of learning activities, including video streaming and assignment upload, without interruptions caused by slow or poor internet performance?
Choose
Yes
No
#9 What, if any, is the primary barrier to having sufficient and reliable internet access in your child’s primary place of residence?
Choose
Availability
Cost
Other
None
Survey Date
MM
/
DD
/
YYYY
Send me a copy of my responses.
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