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Home Technology Access Survey
Home Technology Access Survey
You only need to complete one form PER household.
Parent/Guardian First Name
Answer required for "Parent/Guardian First Name"
Parent/Guardian Last Name
Answer required for "Parent/Guardian Last Name"
Does your household have access to a device such as a phone, tablet or computer that is able to play videos?
*
Answer required for "Does your household have access to a device such as a phone, tablet or computer that is able to play videos?"
Yes
No
Do you have internet capabilites to stream or download videos on your device?
*
Answer required for "Do you have internet capabilites to stream or download videos on your device?"
Yes
No, I am not able to download or stream videos onto my device
No, my household does not have access to a device as mentioned above
Confirmation Email
Confirmation Email
*
Answer required for "Confirmation Email"
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