ReNewbury Household Survey
Street Number
Your answer
Road
Your answer
Apartment Number
Your answer
Village
Adults (21+ years old) Living at this Address
Juveniles (20 - years old) Living at this Address
Is this a
Current Phone service connects by
1) Do you currently have internet service other than dial up?
2) If YES, what kind of service is it?
2a) What is the advertised speed of the service in Mbps?
Your answer
2b) What is the monthly cost of the service?
Your answer
3) How satisfied are you with your current service?
Very satisfied
Very dissatisfied
4) Who provides your telephone service?
5) Do you currently subscribe to a cable or satellite TV service?
6) Do you use any of the following internet-based entertainment services?
5&6a) What would you miss if the TV or internet entertainment services were no longer available?
Your answer
1a) Students with access to high-speed internet at home have a big advantage compared to those without.
Highly agree
Highly disagree
1b) Our schools should offer distance-learning for subjects not available at our schools.
Highly agree
Highly disagree
1c) A reduced cost plan should be available for families on the free and reduced school lunch program.
Highly agree
Highly disagree
2a) The ability to work partially or fully from home instead of driving long distances keeps wages local, is beter for families,and reduces the impact on roads and the environment.
Highly agree
Highly disagree
2b) Lack of high speed internet makes it difficult to start or expand local businesses and create more jobs.
Highly agree
Highly disagree
2c) Availability of high-speed internet improves the sale-ability of homes and property.
Highly agree
Highly disagree
3a) It’s costly and unnecessarily risky transporting chronically ill patients to distant medical facilities when routine home or community-based monitoring would suffice.
Highly agree
Highly disagree
3b) The ability to communicate with my physician or other healthcare provider via home-based videoconferencing would be helpful for my routine medical needs.
Highly agree
Highly disagree
4a) It would be great to have on-demand access to community information such as school and town news, road hazard alerts, and special community events.
Highly agree
Highly disagree
4b) I’d love to ‘cut-the-cord’ and lose the monthly cost of TV channels I don’t watch or don’t want coming into our home. I’d like to get my entertainment ala carte and when and where I want it.
Highly agree
Highly disagree
5) Would you prefer being supported by competent technical assistance employing local people who know our community, understand local needs, and where your subscription fees stay local?
Highly agree
Highly disagree
1) Based on what I know, I believe the following internet package best serves my needs:
Column 1
15/15
50/50
100/100 Telecommuter
100/100 Business
Interested but unsure
Not interested
Additional thoughts
Your answer
Completion date
MM
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DD
/
YYYY
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