Residential Demand Survey

This survey has three pages and will take about five minutes to complete.
Data from this survey may be available to others per open record requirements.
Only questions with asterisks * require a response.
At anytime during the survey you can go back and change your responses.
To return to a previous page, click the PREVIOUS PAGE button near the bottom of the page.


Street address of residence - Please do not enter PO Box.


One of the purposes of this survey is to collect and map locations where there is demand for broadband as well as locations where broadband is meeting needs. To map a location, the street address of the location is geocoded (a longitude/latitude identifier) and used to position markers on a publicly viewable map.

NOTE:

If this location can be mapped, the address WILL NOT appear on the map.
It is not required that this location be mapped to complete and submit this survey.

Select all that apply.