Potential Fiber Customer Survey

Your voice matters!

Hayneville Telephone is applying for a grant to bring blazing fast internet and advanced voice services to your home, but we need your input.

Please take our short (3-minute) survey. The results will be included in the grant to help us get approval to provide advanced fiber services areas Ackerville, Allenton, Carlowville, Furman, Pleasant Hill, McWilliams, Pine Apple, Richmond, Sardis, Mt. Nebo and surrounding cities!

Please share with your neighbors and friends! The more people that complete a survey in your area improves our chances of offering fiber services in your area.

2.What type of services would you be interested in should fiber optic facilities be offered in your area:(Required.)

Telephone

High Speed Internet

3.How well do current products on the market meet your needs?

4.Are you currently receiving internet speeds above 25 (Download) / 3 (Upload)?(Required.)

No

Yes

Not Sure

5.What speeds of internet service are you interested in:(Required.)

100 Meg

300 Meg

500 Meg

1 Gig

6.Are you currently receiving the internet speeds you need at this location?(Required.)

Yes

No

8.Please give us a brief description of how beneficial high-speed internet would be for you:(Required.)

9.Customer Information(Required.)

Name

Address

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

10.Customer Signature- Typing Name in space is Considered Electronic Signature(Required.)