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Survey of Parents/Students
Thank you for taking the time to complete this survey so we can ensure all students have the support they need during a potential school closure.
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* Indicates required question
Email
*
Your email
What is your first and last name?
*
Your answer
What is your current phone number?
*
Your answer
What is your current email address?
*
Your answer
Would individuals in your home (who are under the age of 18) be interested in participating in free breakfast and lunches?
*
breakfast only
lunch only
breakfast & lunch
not interest
How many people under the age of 18 reside in your home?
*
Your answer
Do you have access to any of these electronic devices at home (mark all that apply)?
*
computer
tablet or iPad
smart phone
I do not have a device at home
Required
Do you have access to reliable wi-fi at your home that is sufficient to participate in online learning?
*
yes
no
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