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Select program survey

Broadband Map Corrections: NWCCOG Survey:

Enter the address you are reporting on:

Name:

Contact Info:

Address:

City: State:

Zip:

May OIT and its partners contact with questions?

Yes:No:

Are you at the address reporting on?

Yes: No:

Do you have broadband at this address?

Yes: No:

Enter your service information:

Survey Type:

Provider Name:

Technology:

Speed subscribed to:

Price per month:

Enter providers you attempted to contact:

Comments about your service:

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Enter the address you are reporting on:

Name:

Contact Info:

Address:

City: State:

Zip:

May OIT and/or NWCCOG contact with questions?

Yes:No:

Enter your service information:

Provider Name:

Technology:

Price:

Bundled Price:

Speed subscribed to:

Additional information:

Do you telecommute or have a home-based business?

Is your service data capped?

Are other ISPs available at your location?

Are you satisfied with your broadband service?

How important was broadband in your residence selection?

Would you pay 15% more for faster speeds?