Our community is participating in Connected Nation’s “Connected Community” program. This project will assess the current status of broadband access, adoption, and use in our area so we can develop a Broadband Technology Action Plan to improve the quality of life and economic potential across the region.

This survey is designed to collect data on how our region's healthcare facilities of all types are using broadband and related technologies. Therefore, your responses are key in accurately representing your sector. Survey respondents should have a working knowledge of the facility’s technology use.

Please submit one survey per facility. We estimate that this survey will take approximately 10 minutes to complete.
Facility Name:

Question Title

* 1. Facility Name:

Facility Address:

Question Title

* 2. Facility Address:

What is the 5 digit ZIP code for your facility?

Question Title

* 3. What is the 5 digit ZIP code for your facility?