Survey

McKenzie School District recently won a Project OVERCOME grant, that aims to rebuild and improve internet services in the region. As part of the grant, researchers are looking to understand the positive benefits that better Internet services can have.

Through this survey you can help us understand your interest in internet access and the access currently available to you and your household. There is no right answer for any of these questions and if there are any questions that you prefer not to answer, you can leave them blank.

Thank you for taking a few minutes to complete this short survey and supporting community rebuilding. Selected participants may be contacted by the school with an offer of free internet.

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* 1. Following the Holiday Farm Fire, what is your family's current living situation? Select all that apply.

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* 2. We’d like to know how to get in touch with you if we have follow-up questions about your answers or to offer select families with free internet service.

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* 3. How many people are living or usually staying at that address?

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* 4. Of the adults in your household (age 18 and above), how many meet the following employment descriptions? Please write in the number of people for each description.


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* 5. Of the people in your household, how many are currently enrolled in school? Please write in the number of people for each description.


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* 6. How many people in your household are in each age range?

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* 7. Which of the following devices are used in your home? Please check all that apply.

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* 8. How do you connect to the internet at home? It is ok if you are not sure. If you are not sure, please choose “not sure what kind.”

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* 9. In the last 3 months, have you or others in your household used the internet at home for Employment-related activities? Please check one answer for each row.

  Yes No Not sure
Work remotely from home
Search or apply for a job at home
Work for myself at home (self-employment)

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* 10. In the last 3 months, have you or others in your household used the internet at home for Education-related activities? Please check one answer for each row.

  Yes No Not sure
Participate in online class (distance learning)
Use internet to do homework at home
Search education-related information at home

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* 11. In the last 3 months, have you or others in your household used the internet at home for Health-related activities activities? Please check one answer for each row.

  Yes No Not sure
Search for health information (such as WebMD)
Have telehealth visit (you and health care provider on video)
Use online patient portal to access health records

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* 12. In the last 3 months, have you or others in your household used the internet at home for the following?  Please check one answer for each row.

  Yes No Not sure
Email
Social networks (such as Facebook, Twitter, Instagram, TikTok)
Video or voice calls (such as Zoom, Skype, Google Meet)
Streaming video, music, and TV (such as Netflix, YouTube, Spotify)
Gaming
Online shopping
Financial services (such as banking or paying bills)
Reading the news
Using government services (such as renewing driver’s license, looking up tax information, looking up a court case, applying for unemployment)

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* 13. What makes it challenging to use the internet at home for you or others in your household? Please check all that apply

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* 14. Which concerns do you or others in your household have about internet safety? Please check all that apply

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* 15. In the last 3 months, did anyone in your household get help using the internet or a device from the following people? Please check all that apply.

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