Exit Distance Learning Parent Survey Your Scholar Question Title * 1. Your Scholar's Name Question Title * 2. Your scholar's grade 6th Grade 7th Grade 8th Grade Question Title * 3. What type of internet access do you have at home? WiFi or Broadband Dial-up Only have access to the internet on my cell phone Do not have access to the internet Question Title * 4. Do you want to receive free meals each week? Yes No Next