* 1. Do you currently have Internet service at your Polk County residence?

* 2. What is the main reason you do not have Internet service at your Polk County residence?

* 3. Are there school age children in the home (Ages 5-18) ?

* 4. **If you do not currently have Internet service at your Polk County residence, please skip to question 8

What type of Internet service does your home have? If more than one, please indicate your most used type of service.

* 5. Are you satisfied with your Internet Service?

* 6. If you are dissatisfied with your internet service, please check the reasons for your dissatisfaction with your internet service.

Check all that apply

* 7. If you are dissatisfied with your internet service, for which of the following types of activities do you find your internet connection to be too slow?

Check all that apply.

* 8. If you could have access to an Internet connection that would allow you to stream videos (e.g. Netflix™, YouTube™, Hulu™) without buffering and/or allow you to download music and/or work from home, how much would you pay for such a service?

* 10. Thank you for participating in this survey. If you have any additional comments, please add them below.

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