Name:
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To map areas of broadband service and
advocate for improved service, it is important that we collect
information by address. This information will ONLY be used for mapping
purposes and will NOT be shared with any other group. Please provide
your exact location - E911 street and TOWN: (Post Office Box not
acceptable)
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Phone Number:
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Email address:
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Thinking about your location, which of
the following best describes your situation: (check
all that apply)
Primary
residential household
Secondary
home or vacation home
Home-based business
Telecommuter
Place of business (store, office,
manufacturer, etc.)
Government
building
Other (please
specify) |
Do you access the internet from this
location?
No
Yes |
If yes, what type of connection do you
have? (check all that apply)
Dial up
Satellite
DSL
WISP (Wireless
Internet Service Provider)
Cable modem (via cable television)
T1
Other: |
Do you have a child participating in the MSAD75 MLTI Laptop program?
No
Yes |
NOTE: If you currently
subscribe to Cable or DSL internet service,
you may skip to the end of this survey.
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How much would you be willing to pay on
a monthly basis for broadband internet access ONLY?
(Check one)
Less than $20
$20 - $50
$51 - $100
Over $100
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Would you be interested in broadband
service and VOIP (voice over internet protocol) phone services in a
packaged plan?
No
Yes |
If yes, and thinking about how much you
currently pay for internet access and/or phone service how much would
you be willing to pay for a broadband/VOIP service package? (Check one)
$20 - $50
$51 - $75
$76 - $100
Over $100
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Please provide any comments you have
about internet or broadband access in your area.
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CONGRATULATIONS! You've now helped your
community move one step closer to obtaining high speed internet access.
Thank you for taking time to complete this survey. Please click on the
Submit button to complete this survey.
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