DRMS Home Internet and Technology Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Please answer the following questions as they will help us prepare for the instructional needs of your child during the 2020-2021 school year. If you have multiple children attending DRMS, please submit this form again.

Email *

Student's Last Name *

Student's First Name *

Parent or Guardian email address. *

Do you have internet access at home? *

Yes

What type of internet access do you have? *

Cable (Comcast, Xfinity, Chatmoss, etc.)

Satellite (HughesNet, Viasat, etc.)

DSL (Century Link, Verizon, etc.)

Cellular (cell phone data only)

Other

What type of devices do your child use at home to access the internet? *

Tablet (Ipad, Android Tablet, etc.)

Laptop, Chromebook, Desktop PC

Cell Phone

None

Required

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Pittsylvania County Schools. Report Abuse

Forms