North-End Community EII Survey
Please take the time to fill out this brief survey about needs in our community
Email address *
Do you have internet? *
What type of internet do you have? *
If you have internet , what company (carrier) are currently you with?
Your answer
Do you have a computing device *
Mobile Phones, tablet, smart tv, laptop, desktop with wifi card
Would high speed internet access make it more or less likely for you to communicate with others in your community?
Would reliable high speed internet access improve EDUCATION in your household?
Would high speed internet access increase your ability to generate income?
Do you have children in your home? *
Are there seniors in your home? *
Are there home bound individuals in your residence?
Do you have a neighborhood preparedness plan in case of emergency? *
If you are selected to receive internet, what days are you available for a site visit and installation? *
Required
If you are selected to receive internet, what times are you available for a site visit and installation? *
Required
How many people are in your household? *
Your answer
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
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