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WSD / Digital Equity Survey
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* Indicates required question
Student Name
*
Your answer
Student Grade
*
6th
7th
8th
Does this child have internet access at home?
*
Yes
No
If there is NO internet access, what is the reason this child does Not have internet access?
*
Not available
Not Affordable
Other
What type of internet access does this child have? (select ONE of the following)
*
Residential Broadband- ex- SATCO, ATT, EarthLink
Cellular Network-ex- ATT, Verizon, TMobile
Hotspot-ex- a separate Hotspot Device
Community Provided WI-FI
Satelite- ex- Viasat, HughesNet
Other
None
Unknown
Is Internet Performance acceptable for learning activities? (Select ONE of the following)
*
Yes - Experiences very few or no interruptions in learning activities caused by poor internet performance in the primary place of residence.
Sometimes - regularly experiences interruptions in learning activities caused by poor internet performance in the primary place of residence.
No - unable to complete learning activities due to poor internet performance in the primary place of residence.
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