Spark Jump Survey

A few questions about how you plan to use your Spark Jump connection

This survey should only take 5 minutes to complete. We thank you for your time.

Please note that this information is confidential and will only be used for the purposes of evaluating the effectiveness of the programme. Individuals' responses will not be identified in any reports. Results are reported as tables and statistics only.

* INSTRUCTIONS
When a question has an * next to it, this means this question requires an answer before you can move on to the next page.

Question Title

* 1. What is today's date?

Date / Time

Date

Question Title

* 2. Please select the region that you are part of. You may tick one region only.

Northland

Auckland

Waikato

Bay of Plenty

Gisborne

Hawkes Bay

Bay of Plenty

Taranaki

Manawatu-Wanganui

Wellington

Tasman

Nelson

Marlborough

West Coast

Canterbury

Otago

Southland

Question Title

* 3. How many people , by age, currently live in your household?

Under 18

18-25 years old

26-64 years

Over 65

Question Title

* 4. Have you ever had an internet connection in your home?

Yes