Apache Tribal Broadband Needs Survey

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* 1. Are you an Apache Tribal Member or do you have an enrolled member in your household? (If YES please proceed, if NO stop here and exit survey)

Yes

No

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* 2. Are you able to obtain Internet Service in your area?

Yes

No

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* 3. Which area of Oklahoma do you live in?

Anadarko area

Lawton Area

Oklahoma City Area

Tulsa Area

Out of State

Other (please specify)

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* 4. Do you currently have Internet Service where you live

Yes

No

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* 5. Internet Needs -Please mark all that apply

Homework for children/college age students

Remote Access for Telework for your employment

Internet Access for email, online applications or other personal business needs

Internet Access for Virtual Visits-Healthcare