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At-home Technology Questionnaire
Complete only once per household. This should only take a few minutes to complete.
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* Indicates required question
As the parent/guardian, please provide your first and last name.
*
Your answer
My student(s) has/have convenient daily access to a tech device for learning and Internet access at home.
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My student(s) has/have both a device and Internet access
Have Internet, but not a device
Have a device, but not Internet
Do not have a device nor Internet
Please provide a phone number and/or an email address in which we can contact you to provide any additional info or have further questions for you.
*
Your answer
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