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Internet Access Survey 2020-2021
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Student’s Name
*
Your answer
Student’s Grade
*
Choose
7
8
9
10
11
12
Do you have internet access at home?
*
Yes
No
If you have a smartphone, do you have unlimited data?
Yes
No
Clear selection
If you have a smartphone, do you have a mobile hotspot that you are able to connect to?
Yes
No
Clear selection
Will your internet access allow you to use Zoom and use other video streaming programs?
Yes
No
Other:
Clear selection
If you have siblings in school at Maysville R-1 please list their name and grade level below. (Example: Karen Smith - 5)
Your answer
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