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Gold Country Broadband Consortium ISP Survey
1.
What is your physical address?
Address Line 1
Address Line 2
City
State
ZIP
2.
Which of the following options best describes the address above?
Primary Residence
Second Home
Rental
Business
Other
If "other," please explain:
3.
What are your internet needs? Please check all that apply.
Emails
Video Streaming
Point of Sale/ Inventory System
Gaming
Skype, FaceTime, or other video call services
Social Media
Home business/ online sales
Other (please specify)
4.
On a 1-10 scale, how would you rate your current internet service (1 being terrible service, and 10 being great service)?
1
5
10
Clear
5.
What internet service provider (ISP) do you currently have?
6.
How fast is your current internet connection, as stated in your service agreement with the ISP (in megabits per second)? Note: this is often different from speeds experienced on a day-to-day basis. (Note: if speeds are less than 1 Mbps, please enter 1.)
Download Speed
Upload Speed
7.
How fast is your current internet service, as experienced on a day-to-day basis (in megabits per second)? If unknown, you can test your speed for free
here.
(Note: If speeds are less than 1 Mbps, please enter 1.)
Download Speed
Upload Speed
8.
Does your internet plan include a cap or limit on service after a certain amount of data is used?
Yes
No
9.
How much do you currently pay for your internet service (per month)?
10.
Internet Service to homes can cost anywhere from about $40/mo to around $200/mo. Given this information, what is the most you would be willing to spend on internet service per month?
11.
If you would like local internet service providers to be able to contact you directly, please also include the following information.
(Information you provide will be supplied to local internet service providers for the exclusive purpose of determining the feasibility of providing internet access to your home or business. Internet service providers are prohibited from using your information for any other purpose, or from sharing your data with any third party).
First Name
Last Name
Contact Phone Number
Contact Email Address
12.
If we find an internet service provider (ISP) that could guarantee significantly better service to your home or business, would you be willing to put down a deposit of $100 with that company? If you answer "yes," we will pass that information on to a local ISP.
Yes
No
13.
Do you have any additional comments regarding your internet service?
Current Progress,
0 of 13 answered
