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ECF Guardian Survey
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* Indicates required question
Name of individual completing the survey:
Your answer
How many students live in the home?
*
1
2
3
4
5
6
7
8
9
10
Names of Students with Grade Level for 21-22 (i.e. Student Name/1st)
*
Your answer
Do all students in the home have access to a device, not provided by the district, for learning online, including after school homework? (if all of them had to be online at the same time)
*
Yes
Yes, but it doesn't work well
No
If no, how many student would require a device?
Your answer
What type of internet access, not provided by the district, do you have at home?
*
Broadband (fiber, cable modem, DSL, satellite, etc.)
Dial up
Hotspot
No Internet Access
If you have Internet access, is it adequate to allow remote learning for all students in the household?
*
Yes
No
If you have Internet access, do you receive assistance from a federal program such as Lifeline or Emergency Broadband Benefit (EBB)
*
Yes
No
Do you receive federal assistance such as SNAP or TANF?
*
Yes
No
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