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Comsewogue School District
Digital Access Survey - Secondary (Grades 6-12)
This form is for grades 6-12. To complete the form for Grades K-5,
visit this link
.
Your Child's Information
Child's Full Name
School
Student ID #
1
Child's Full Name
School
Student ID #
2
Child's Full Name
School
Student ID #
3
Child's Full Name
School
Student ID #
4
Child's Full Name
School
Student ID #
1. Did the school District issue your child a dedicated school or district-owned device for their use during the school year?
*
Yes
No
2. 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.)
*
Desktop
Laptop
Tablet
Chromebook
Smartphone
No Device
3. Who is the provider of the primary learning device identified in question 2? (This can be a school-provided device or another device, whichever the student is most often using to complete their schoolwork.)
*
School
Personal
No Device
4. Is the primary learning device (identified in question 2) shared with anyone else in the household?
*
Shared
Not Shared
No Device
5. Is the primary learning device (identified in question 2) sufficient for your child to fully participate in all learning activities away from school?
*
Yes
No
6. Is your child able to access the internet in their primary place of residence?
*
Yes
No
7. What is the primary type of internet service used in your child’s primary place of residence?
*
Residential Broadband
Cellular
Mobile Hotspot
Community WiFi
Satellite
Dial-Up
DSL
Other
None
8. 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?
*
Yes
No
9. What, if any, is the primary barrier to having sufficient and reliable internet access in your child’s primary place of residence?
*
Availability
Cost
None
Other