ICBAN Broadband and Mobile Telecoms Survey 2012

Profile of Respondent

Please take a few moments to complete the following questions. Your responses are very much appreciated, and they will act as a valuable input to the current broadband and mobile telephony survey being conducted by your local Council and the Irish Central Border Area Network.

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ICBAN Broadband and Mobile Telecoms Survey 2012

Profile of Respondent

1. Please select the local Council area that you live in (this study is applicable only to the Council areas listed).

2. What is your name? (Optional)

3. What is your address? (name of Town or Townland required, as a minimum)

4. What is your postcode? (N.I. Respondents)

5. What is your telephone number? (Optional)

6. What is your email address? (Optional)