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* 1. Student (first and last) Name ( Please complete a new survey for each student in the home or list all students in home here)

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* 2. Did the school district issue your child a dedicated school or district-owned device for their use during the school year?

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* 3. What is the device your child uses most often to complete learning activities away from school? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.)

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* 4. Who is the provider of the primary learning device identified in question 2? (This can be the school-provided device or another device, whichever the student is most often using to complete their schoolwork.)

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* 5. Is the primary learning device (identified in question 2) shared with anyone else in the household? 

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* 6. Is the primary learning device (identified in question 2) sufficient for your child to fully participate in all learning activities away from school? 

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* 7. Is your child able to access the internet in their primary place of residence? 

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* 8. What is the primary type of internet service used in your child's primary place of residence? 

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* 9. In their primary residence, can your child complete the full range of learning activities, including video streaming and assignment upload, without interruptions caused by slow or poor internet performance?

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* 10. What, if any, is the primary barrier to having sufficient and reliable internet access in your child's primary place of residence?

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