Digital Inclusion Indicator Review Form
Review digital inclusion indicators, document evidence and barriers, and identify practical improvement priorities.
Review Context
Program, Service, or Community Name
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Reviewer Name or Role
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Review Date
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Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Geographic or Service Context
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Indicator Review
Digital Inclusion Indicator Ratings and Evidence
Rows
Rating
Evidence / notes
Access to reliable internet
Affordability
Availability of suitable devices
Accessibility and usability
Digital skills and support
Meaningful participation or outcomes
Overall Digital Inclusion Rating
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Significant gaps
Developing
Adequate
Strong
Key Evidence Sources
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Findings and Priorities
Main barriers identified
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Recommended improvement actions
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Highest-priority action
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Submit review
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