JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Home Technology Access
Please complete the questions below in reference to your technology access at home for remote learning
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Last Name
*
Your answer
First Name
*
Your answer
Grade
*
Choose
7
8
9
10
11
12
Student 99 Number
*
Your answer
Do you have Internet access at home?
*
Yes
No
How would you rate your Internet Service Speed?
*
Slow
Average
Fast
Do not have Internet access
Select all devices you have at home to access the Internet for remote learning
*
Desktop
Laptop
Chromebook
Tablet
Cell Phone
No devices to use at all
Required
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of asd.k12.pa.us.
Report Abuse
Forms
