Technology Questionnaire from Erving Elementary School
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Parent / Guardian Name *
Your student(s) name (Please enter all names if more than one) *
Grade(s) (Please check all that apply) *
Required
Does your student(s) have access to a device at home: *
If you have a device at home, what do you have? (Please check all that apply)
Apple
Chrome
Windows
Android
Linux
Desktop Computer
Laptop Computer
Tablet
Smartphone
Do you have internet access at home? *
If you have internet at home, rate the quality of service
Very Slow (Poor)
Very Fast (Excellent)
Clear selection
How comfortable is your student with using technology to complete classwork at home? *
Not comfortable at all (Need extra support)
Very comfortable (Can use tech with ease)
How comfortable are you with using video conferencing tools like Zoom or Google Hangouts
Not comfortable at all (Need extra support)
Very comfortable (Can use these tools with ease)
Clear selection
Is there anything else you'd like to tell us about your student(s) ability to do school work at home that requires technology and/or the Internet?
(e.g., you have to share your wifi with a spouse or children who stream videos; you have to share your device with family members; your device hasn't been reliable lately)
Additional comments?
Submit
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