Enquire
Here
Do you currently have a
PC?
Yes No
Do you currently have
Internet access?
Yes
No
What type of internet
access do you currently use?
Modem
ISDN DSL
Satellite Wireless None
Please indicate whether
you are a Home/Business user or both
Business
Home
Both
Could you indicate the
number of users in your home/business?
What would influence your
choice of Broadband services? (Please rank in order of 1-5, with 1
being the greatest influence.)
Always connected
1 2 3 4 5
Speed of Connection
1 2 3 4 5
Cost
1 2 3
4 5
Reliability
1 2 3 4 5
Would you be interested
in joining a County and Group Broadband Scheme for your area?
Yes No
Would you be prepared to
get involved in the organisation of a County and Group Broadband Scheme?
Yes No
The data collected in
this survey may be used to try to expand Broadband services to all
areas in the County. Do you give permission for details you are
submitting to be given to relevant third parties for this purpose?
Yes No
Name
Contact number
(mobile or landline)
Email (required)
Address