does this look familiar? - wkrk · 2. please select the type of service to which you currently...

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Does this look familiar? The Southwestern Commission knows that too many residents in our area could be in this picture - unable to get Internet access at home and needing to go to the library to get online. As reliable broadband access becomes more of a necessity and less of a luxury, it is increasingly important mountainwest.baat-campaign.com No Internet connection? No problem! Take the survey from a library computer and skip the speed test, or fill out the copy on this flyer and leave it at the desk. If you don’t have time right now, come back again! The survey will be running for three months. Southwestern Commission Broadband Survey Please provide your home address. We cannot enter your response without an address. This will be kept confidential and used solely for data comparison. Street Address: Apartment #: Town/Village: Zip Code: 1. Do you currently have Internet service at your home?? [ ] Yes [ ] No 1a. If you don’t currently subscribe to Internet service, please tell us why (please check the primary reason). [ ] Not available [ ] Too expensive [ ] Not relevant or needed [ ] Lack of a computer or device [ ] Not applicable (I currently have service) 2. Please select the type of service to which you currently subscribe. [ ] Wired (cable, DSL) [ ] Cellular data (mobile phone) [ ] Fixed wireless (from a local WISP) [ ] Satellite [ ] A combination (wireless and wired, wireless and cellular, statellite and cellular, etc.) [ ] I don’t have service that as are many people as possible are connected at home. To that end, the SWC with the MountainWest Partnership is sponsoring an online survey to determine who has service, who doesn’t, and who needs better options in providers. For a limited time you can log onto: and take a survey designed to give the SWC the feedback it needs to address these issues. The survey should take no more than five minutes of your time (unless you have a poor connection - in which case we really need to hear from you).

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Page 1: Does this look familiar? - WKRK · 2. Please select the type of service to which you currently subscribe. [ ] Wired (cable, DSL) [ ] Cellular data (mobile phone) [ ] Fixed wireless

Does this lookfamiliar?The Southwestern Commission knowsthat too many residents in our areacould be in this picture - unable to get Internet access at home and needing to go to the library to get online. As reliable broadband access becomesmore of a necessity and less of a luxury, it is increasingly important

mountainwest.baat-campaign.com

No Internet connection? No problem! Take the survey from a library computer and skip the speed test, or fill out the copy on this flyer and leave it at the desk. If you don’t have time right now, come back again! The survey will be running for three months.

Southwestern Commission Broadband Survey Please provide your home address. We cannot enter your response without an address. This will be kept confidential and used solely for data comparison.

Street Address: Apartment #:

Town/Village: Zip Code:

1. Do you currently have Internet service at your home??

[ ] Yes [ ] No

1a. If you don’t currently subscribe to Internet service, please tell us why (please check the primary reason).

[ ] Not available [ ] Too expensive [ ] Not relevant or needed [ ] Lack of a computer or device [ ] Not applicable (I currently have service)

2. Please select the type of service to which you currently subscribe.

[ ] Wired (cable, DSL) [ ] Cellular data (mobile phone) [ ] Fixed wireless (from a local WISP) [ ] Satellite [ ] A combination (wireless and wired, wireless and cellular, statellite and cellular, etc.)[ ] I don’t have service

that as are many people as possible are connected at home. To that end, the SWC with the MountainWest Partnership is sponsoring an online survey to determine who has service, who doesn’t, and who needs better options in providers. For a limited time you can log onto:

and take a survey designed to give the SWC the feedback it needs to address these issues. The survey should take no more than five minutes of your time (unless you have a poor connection - in which case we really need to hear from you).

Page 2: Does this look familiar? - WKRK · 2. Please select the type of service to which you currently subscribe. [ ] Wired (cable, DSL) [ ] Cellular data (mobile phone) [ ] Fixed wireless

3. What is the download speed you currently pay for?

[ ] 1.5Mbps to 3Mbps [ ] 3Mbps to 6Mbps [ ] 6Mbps to 10Mbps [ ] 10Mbps to 25Mbps [ ] 25Mbps to 50Mbps [ ] 50Mbps to 100Mbps [ ] 100Mbps to a Gigabit or more [ ] I don’t know [ ] I don’t have service

4. Does the speed you currently subscribe to meet your needs?

[ ] Yes [ ] No [ ] I don’t have service

5. On average, how many devices do you have that connect to your Internet service (including laptops, tablets,smart phones, televisions, etc.)?

[ ] 1-2 [ ] 3-4 [ ] 5 or more [ ] I don’t have service

6. If additional competitive services were available to you, to which package would you subscribe?

[ ] Internet only [ ] Internet and TV [ ] Internet and home phone [ ] Internet, TV, and home phone [ ] TV only [ ] None of the above

7. Who are or would be the primary users of Internet at your address? (Please check all that apply.)

[ ] School child(ren) - K-12 [ ] Adult(s) - Ages 19-35 [ ] Adult(s) - Ages 36-52 [ ] Adult(s) - Ages 53-65 [ ] Adult(s) - Ages 65 and older [ ] No one would use this service

8. Would anyone in your household take online classes if sufficient Internet service were available?

[ ] Yes [ ] No

8a. Would anyone in your household telecommute or start a home-based business if sufficient Internet service wereavailable?

[ ] Yes [ ] No

8b. Would anyone in your home use telemedicine or social support applications (e.g. “virtual doctor visits”) ifsufficient Internet service were available?

[ ] Yes [ ] No

9. How important is Internet access to your ability to earn a living?

[ ] Critical [ ] Very important [ ] Somewhat important [ ] Neutral [ ] Not important

9a. How important is Internet access to your quality of life?

[ ] Critical [ ] Very important [ ] Somewhat important [ ] Neutral [ ] Not important

10. Are there any other comments you wish to share regarding broadband service or Internet access?