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Number of household members enrolled in preschool or day care:Num:Pt:^Patient:Ord:
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Number of household members enrolled in elementary school:Num:Pt:^Patient:Ord:
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Number of household members enrolled in middle school or junior high:Num:Pt:^Patient:Ord:
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Number of household members enrolled in high school:Num:Pt:^Patient:Ord:
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Number of household members enrolled in college or trade school, including four-year colleges, community colleges, technical institutes, and vocational schools:Num:Pt:^Patient:Ord:
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Enrolled in college or trade school, including four-year colleges, community colleges:Find:Pt:^Patient:Ord:
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Do children in this household have access to the internet during the day to support learning:Find:Pt:^Patient:Ord:
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Type of internet available to children in household to support learning:Find:Pt:^Patient:Nom:
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Devices used in household to access the internet for learning:Find:Pt:^Patient:Nom:
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Number of laptops or desktops used in household for learning:Num:Pt:^Patient:Qn:
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{#}
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Number of tablets used in household for learning:Num:Pt:^Patient:Qn:
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{#}
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Number of smartphones used in household use for learning:Num:Pt:^Patient:Qn:
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{#}
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Number of household members enrolled in preschool or day care that had school suspended or canceled because of the condition of interest:Num:Pt:^Patient:Ord:
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Number of household members enrolled in elementary school that had school suspended or canceled because of the condition of interest:Num:Pt:^Patient:Ord:
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Household members in elementary school do educational activities at home:Find:Pt:^Patient:Ord:
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Provider of educational activities:Find:Pt:^Patient:Nom:
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Number of household members enrolled in middle school or junior high that had school suspended or canceled because of the condition of interest:Num:Pt:^Patient:Ord:
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Household members in middle school or junior high do educational activities at home:Find:Pt:^Patient:Ord:
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Provider of educational activities:Find:Pt:^Patient:Nom:
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Number of household members enrolled in high school that have had school suspended or canceled because of the condition of interest:Num:Pt:^Patient:Ord:
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Household members in high school do educational activities at home:Find:Pt:^Patient:Ord:
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Provider of educational activities:Find:Pt:^Patient:Nom:
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Number of household members in grade 12:Num:Pt:^Patient:Ord:
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Name of the household member in grade 12:Find:Pt:^Household member:Nom:
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Plans for after high school:Find:Pt:^Household member:Nom:
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Post high school plans changed due to condition of interest or school closures:Find:Pt:^Household member:Ord:
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Previous plans for after high school:Find:Pt:^Household member:Nom:
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Primary child care provider while school is suspended or canceled:Find:Pt:^Patient:Nom:
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Level of difficulty finding affordable child care while school is suspended or canceled:Find:Pt:^Patient:Ord:
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Agreement with statement: School closures made it difficult for me to work or do other household tasks:Find:Pt:^Patient:Ord:
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Agreement with statement: I am satisfied with the communication to support learning from my child's school:Find:Pt:^Patient:Ord:
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Agreement with statement: My child will be prepared for school in the next school year:Find:Pt:^Patient:Ord:
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Earliest date school will resume in person:Date:Pt:^Patient:Qn:
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{mm/dd/yyyy}
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