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* 1. Who is your cable TV provider?

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* 2. About how long (current or previous) has your household subscribed to cable TV?

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* 3. For what reasons are you not currently subscribing to cable TV services? (Mark all that apply. Non-subscribers, please go to Q.9.)

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* 4. Is there anything a cable TV provider could do to interest you in subscribing to cable TV?

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* 5. What cable services do you currently receive from your cable TV provider? (Mark all that apply.)

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* 6. Are there any other additional cable services that you would like your cable TV provider to consider?

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* 7. Are there any cable programs that are not available that you would like your cable TV provider to add?

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* 8. For each of the following, how satisfied have you been with your cable TV provider over the last year?

  Very satisfied Satisfied Dissatisfied Very Dissatisified Not Applicable
Ability to contact by phone
Time on hold when contacting by phone
Response to service requests
Resolution of cable system outages
Effectiveness of Customer Service personnel
Performance of service technician
Cost of cable TV service
Accuracy of monthly bill
Quality of the picture
Quality of the sound
Other:

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* 9. What is your overall opinion of your cable TV provider

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* 10. Do you currently subscribe to Internet service in your home?

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* 11. Who is your Internet service provider?

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* 12. For each of the following, how satisfied have you been with your Internet service provider over the last year?

  Very Satisfied Satisfied Dissatisfied Very Dissatisfied Not applicable
Ability to contact by phone
Time on hold when contacting by phone
Response time to service requests
Effectiveness of Customer Service personnel
Performance of service technicians
Cost of Internet service
Accuracy of monthly bill
Other:

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* 13. For what reasons do you not currently subscribe to Internet service? (Mark all that apply.)

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* 14. Who is your telephone service provider?

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* 15. For each of the following, how satisfied have you been with your telephone service provider over the last year?

  Very satisfied Satisfied Dissatisfied Very Dissatisfied Not applicable
Ability to contact by phone
Time on hold when contacting by phone
Response to service requests
Resolution of system outages
Effectiveness of Customer Service personnel
Performance of service technicians
Cost of telephone service
Accuracy of monthly bill
Other:

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* 16. What is your gender:

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* 17. How old are you?

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* 18. Do you currently have children under age 18 in your household?

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* 19. Please provide any other comments you may have regarding your cable television, Internet and telephone services.

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