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A printable PDF version of this survey is available for download here: Student Technology Intake Survey
To see this form in your language use the "Select Language" button in the top-right of the page and make your choice.
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Yes    No
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Yes    No
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Yes    No
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I will continue to learn online.    I don't think I can learn online right now.
 
 
 
 
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Yes    No
 
 
 
 
Yes    No    I don't know
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Yes    No
 
 
 
 
 
 
 
 
 
 
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