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STUDENT/PARENT Digital Technology Survey
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Name
First Name
Last Name
What type of technology do you use at home? (Check all that apply)
Desktop PC
Laptop
iPad
Chromebook
Android Tablet
Smart phone
None
Other (Specify)
What school related activities do you do on your device(s)?
Reading
Writing
Math
Projects/Presentations
Research
Other (Specify)
How do you access the Internet at home?
Broadband (though a cable company hot spot)
DSL (through the phone company)
Dial-Up (must connect by phone dial)
Cell phone service
No Internet Access
Are you able to access/use your device to do schoolwork using W-Fi?
I can’t use my device at home
Limited access 1-2 hours
Medium access 3-4 hours
Unlimited access
Overall, how comfortable are you using your device for schoolwork?
Not at all comfortable
Not very comfortable
Somewhat comfortable
Very comfortable
What other activities do you use your device for?
Social media (Twitter, Instagram, Snapchat, Facebook, etc.)
Games/Music/Movies/Digital Art
Media (like online magazines, TV shows)
Other (Specify)
Do you use the internet to complete your schoolwork outside of school?
Never
Sometimes
Often
Always
How many devices are being used in the household?
1
2
3
4+
How many other members of the household share the device you primarily use for schoolwork?
1
2
3
4+
As a student, do you use your personal device while at school?
Yes
No
As a student, what other places in your community do you use to access the Internet?
Library
Commercial business (e.g., coffee shop, restaurant, etc.)
Friend’s House
Family Member’s House
Place of Worship
Other (Specify)
What is the connection speed that you (student) need to engage in anywhere, anytime learning?
Moderate: Enough to get online, comfortably browse the Web
Fast: Enough to smoothly stream videos, quickly download large files, etc.
Lightning speeds: Fastest connection possible for all types of projects
Do you have access to this connection speed you noted above in your home now?
Yes
No
Most of the time, but not always
Sometimes, but not enough
Other (Specify)
Do you have access to this connection speed in other places in the community where you do homework?
Yes
No
Most of the time, but not always
Sometimes, but not enough
Other (Specify)
As a parent, how often do you use your home device for personal use (e.g. business, pay bills, etc.?)
Generally, don’t use computer at home
Limited access 1-2 hours
Medium access 3-4 hours
Unlimited access
As a parent, would you be willing to allow your child to use your personal device in school if it werepart of the curriculum?
Yes
No
Please explain...
Submit
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