The survey will take approximately 3-5 minutes.

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* 1. Which best describes the location you are reporting:

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* 2. If this is a home, is it used for a business? (excluding work from home for a company).

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* 3. What is the physical address of the home/business you are reporting?
*Please do not use P.O. Box - use only physical addresses
**If your business has more than one location in Washington County, please complete a separate survey for each location.
***Your address is critical in identifying areas without adequate internet service and will ONLY be used for that purpose. Your personal information will be kept confidential and within the scope of the Broadband Taskforce Initiative.

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* 4. Which age groups live in this home (select all that apply):

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* 5. If there are students at this residence, check all that apply:

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* 6. If you currently have internet access at this location (home or business), please indicate your provider:

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* 7. What monthly price do you currently pay for the above internet service?

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* 8. How satisfied are you with your current internet provider indicated in the previous question, at this location?

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* 9. If you answered Somewhat Dissatisfied or Extremely Dissatisfied in the previous question, how much does your dissatisfaction have to do with price?

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* 10. If high-speed broadband internet access was offered to you, what price would you be willing to pay for the monthly service?

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* 11. What would you be willing to pay for the upfront setup costs for high speed internet at your location?

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* 12. It is very important that we know your internet connection speed so we can determine the best service for you.
1.  Be sure to disconnect from wireless before conducting this test.
2. Click the link below to take the speed test.
DO NOT CLICK THE GREEN BUTTON.
Use the gray button under the dials that reads "start speed test"
3. The test will open in a new browser window. 
4. Run the test and come back to this page to report the results.
www.testmyspeed.com


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* 13. How has a lack of high speed internet access affected your life. Please provide a brief description. Your opinion is very important.

Thank you for participating in this survey. 

This Survey is conducted by MS Global Partners LLC for the Washington County Chamber of Commerce Broadband Taskforce.
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