Broadband Telecommunications Survey

Name:

Business Name (if applicable):

Street Address:

City:

State:

Zip:

Phone:

Website:

E-mail:

Total Number of Employees:

Total Number of Computer Users:

Type of organizational activities conducted at this facility:

Does your organization have an Internet Connection?:

yes

no

If yes, what type?:

If yes, cost?:

If yes, speed?:

How satisfied are you with the speed of your current service?:

Not at all Satisfied

Somewhat Satisfied

Satisfied

Very Satisfied

Check all applicable uses of the Internet needed for you or your business now:

Check all applicable uses of the Internet needed for you or your business in the future:

Would you be willing to pay more for faster, higher quality Internet access?:

Not at all willing

Somewhat willing

Very willing

Not sure

How important do you think Internet technology will be for the success of your company over the next five years?:

Not important

Somewhat Important

Very Important

How difficult is it to find personnel with the needed computer, software, and Internet skills from the local area?:

Very Difficult

Somewhat Difficult

Not Difficult

How difficult is it to find and provide the appropriate training for employees in computer, software and Internet applications?:

Very Difficult

Somewhat Difficult

Not Difficult

If you need better, more affordable, services at your location, please indicate below::

Telephone

Internet/data

TV

Broadband:

Broadband is not a system or a technology, but rather refers to speed and capacity (bandwidth) of a network connection. Broadband in this context refers to high-speed Internet connections that are always connected (no dial-up) to very high-speed networks, enabling super-fast downloads and uploads. Broadband networks have the potential to dramatically change, enhance, and transform the types of applications and services currently available through today’s narrowband Internet. A broadband network can provide customers with a choice of service providers and services.

Given the definition above, do you believe your organization would benefit from an affordable broadband Internet connection?:

Yes

No

If you answered yes to the question above, briefly state what is affordable and at what speed?:

Who is your Internet Service provider?:

Who is your cable/satellite TV provider?:

Who is your local dial-tone telephone service provider?:

Who is your long-distance telephone service provider?:

What other telecommunication needs do you have that were not covered in this survey?:

If more affordable broadband allowed your business to add new jobs, will the jobs to be filled require no more than a HS degree and no special skills required for employment? (unless training will be available from the company/business):

Yes

No

Your answer to this question helps us obtain support for moving forward.

Do you work from home?:

I have a full-time home-based business

I work full-time from home for another company

I work only part time from home

I need nights and weekends access to my place of work

I never work from home.

We are trying to determine how many people in the area need business broadband service at home.

Pennington Gap Broadband Planning Project

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