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.

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* 1. What is today's date?

Date / Time

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

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

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

T