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Technology Needs Survey
Device Survey
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* Indicates required question
Name
*
Your answer
Please list your contact phone and email
*
Your answer
How many school age children do you have?
*
1
2
3
4
5
Where do your children attend?
*
Elementary school
High School
Both Elementary and High School
Please list the grade levels of each child (example; James, grade 4).
*
Your answer
What are the technology needs for your children?
*
Computer
Internet
Other
If you listed other, please describe
*
Your answer
Any other suggestions to help us meet your child's learning needs?
*
Your answer
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