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Internet Connectivity Survey
This survey will take about 3-5 minutes to complete. Please answer the questions in relation to your home or primary residence.
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* Indicates required question
Do you have internet service at home or your primary residence? (For college students: dormitories are not considered a primary residence.)
*
No - There is no service offered where I live
No - But I would consider getting internet service if barriers were removed
No - I do not want service at home
Yes - I have satellite or DSL service
Yes - I have fiber internet or cable internet
Other:
Are there any barriers for you to get internet service at home? (Check all that apply.)
*
Price
No service available
Credit Checks or a Deposit
Long-term Contract
Cannot afford a device (such as a computer, tablet, etc)
I don't know how to best utilize the internet
Other:
Required
How and where do you access the internet? (Check all that apply.)
*
Cellular data plan
Library
School
Work
Community Center
Senior Center
Local Business or Restaurant
Relative of Friend's House
Public WiFi or Hot spot
Other:
Required
Would you like to utilize the internet for any of the following? (Please check all that apply.)
*
Education - remote learning or teaching, online training
Business - remote working, applying for jobs, business tasks
Telehealth - physical and mental health support, appointments, prescriptions
Household - pay bills, look for services, online banking, online shopping
Social - email, social media
Entertainment - tv, movies, video games, music
Civic - register to vote, find government agencies
Other:
Required
If you or someone in your home use the internet for work, have you been unable to complete work tasks due to lack of high-speed internet access at home?
*
Yes - many times
Yes - sometimes
No - never
I don't use the internet at home for work because I choose not to.
Other:
If you or someone in your home uses the internet for school, have you been unable to complete schoolwork due to lack of high-speed internet access at home?
*
Yes - many times
Yes - sometimes
No - never
I don't use the internet at home for school because I choose not to.
Other:
Have you or someone in your home been unable to access health support or social services due to lack of internet access?
*
Yes - many times
Yes - sometimes
No - never
I don't use the internet at home for health or social services because I choose not to.
Other:
Which of the following can you do? (Please select all that apply.)
*
Create a document (such as in Microsoft Office, Google Docs, etc.)
Upload and download a document
Send and receive emails
Share photos (social media, email, etc.)
Watch a video (YouTube, social media, streaming services)
Search for information online (Google, Yahoo!, Bing, etc.)
Access health services (such as a virtual appointment)
Buy something online
Required
Do you need or want to strengthen your ability to use a computer and the internet?
*
Yes
No
Do you have a cell phone?
Yes - for calls and texts only (no data plan)
Yes - for internet data only
Yes - for calls, texts, and internet data
No
Clear selection
What is your age range?
*
18-29
30-39
40-49
50-59
60-69
70+
Are you (or other members of your household) a member of any of the following groups? (Please select all that apply.)
*
Student
Teacher
Parent
Senior
Employee
Business Owner
Veteran
Required
What is your estimated household income?
*
Choose
Less than $15,000
$15,001 - $20,000
$20,001 - $25,000
$25,001 - $30,000
$30,001 - $35,000
$35,001 - $40,000
$40,000 - $45,000
$45,001 - $50,000
$50,001 - $55,000
$55,001 - $60,000
$60,001 - $65,000
$65,001 - $70,000
$70,001 - $75,000
$75,001 - $80,000
$80,001 - $85,000
$85,001 - $90,000
$90,001 - $95,000
$95,001 - $100,000
Over $100,000
How many people are in your household?
*
1 person
2 people
3 people
4 people
5 people
6 people
7 people
8 people
Other:
Demographic Information: How would you best describe yourself? (Please check all that apply.)
*
American Indian or Alaskan Native
Asian
Black or African American
Hispanic, Latinx, or Spanish origin
Native Hawaiian
White or Caucasian
Prefer not to Answer
Other:
Required
What is your address? Please include: street address, city, state, and zip code.
This information will solely be used to build and refine the Mississippi broadband availability map as BEAM works to identify areas in the state without adequate access to the internet. Your data will never be sold or given away.
*
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