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Community Technology Survey
1.
DHA Resident or General Public?
Non-DHA Resident
Housing Choice Voucher/Section 8
Barney Ford
Casa Loma
Columbine Homes
Gateway North
Gateway South
Hirschfeld Tower
Mt. View Tower & Eliot
North Lincoln
Platte Valley
Quigg Newton Homes
South Lowell
Syracuse Plaza
Tapiz
Thomas Bean Tower
Thomas Connole
Vida at Sloan's Lake
Walsh Annex
Walsh Manor
Westridge/Mulroy
Westwood Homes
Disp. East
Disp. West
Disp. South
1040 Osage
2.
Do you have a device that can connect to the internet? (Select all that apply)
Smart Phone
Tablet
Laptop
Desktop
No, I do not have a device that can connect to the internet.
Other
3.
Do you have internet access?
Yes
No
4.
If yes, what internet provider do you use?
Xfinity Internet Essentials/Comcast
Starry
Live Wire
Century Link
Other (please specify)
5.
If you do not have internet, do you want help getting signed up?
Yes
No
6.
Do you need help accessing your internet or have questions?
Yes
No
7.
Do you need assistance using your tech devices?
Yes
No
8.
If you would like a follow-up call or email to get help or more information, please enter your contact information.
First and Last Name
ZIP/Postal Code
Email Address
Phone Number