• Do we have permission to share basic demographic data (e.g., name, contact information, and address) with an Internet Service Provider (ISP) and/or phone carrier
    		•

    Participate in live videoconferencing




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    Participate in live videoconferencing

  • Play online, live video games (e.g., Fortnite, Call of Duty, League of Legends)


  • How many people in your household are typically using the internet at once?

    1. 1-2

    2. 3-4

    3. 5-6

    4. 7+


  • OPTIONAL: How much do you pay, per month, for your internet service?

    1. (fill in blank)


    [Customize the list of ISPs below based upon those that serve your area]

    1. OPTIONAL: Who is your current internet service provider (ISP) to your home? (button)

      1. AT&T

      2. Spectrum

      3. Frontier

      4. Cable One

      5. Grande Communications

      6. Suddenlink

      7. Viasat

      8. HughesNet

      9. Rise Broadband

      10. Nextlink

      11. Not sure

      12. Other (if other, please fill in your service provider)


    2. Do you currently have a smart phone with a data plan? (button)

      1. Yes

      2. No


    [If answered no, skip to section 4 devices section and continue]


    1. Do you use your smart phone as a hotspot to provide Wi-Fi to other devices?

      1. Yes

      2. No



    [If answered “b. No,” to Question 13, skip to question 17]


    1. What amount of data does your cellular data plan provide per month? (button)

      1. 0- 5 GB

      2. 6-10 GB

      3. 10-20 GB

      4. 20+ GB

      5. Unlimited

      6. Not sure

      7. Other (if other, please fill in estimated amount)



    2. OPTIONAL: Who is your current phone carrier? (button)

      1. AT&T

      2. Verizon

      3. T-Mobile

      4. Sprint

      5. Cricket

      6. Metro PCS

      7. Boost mobile

      8. Not sure

      9. Other (please list)

    Permission

    1. is exploring partnerships with local Internet Service Providers and/or phone carriers to provide internet services for you through vouchers or other means. Do we have permission to share basic demographic data (e.g., name, contact information, and address) with an Internet Service Provider (ISP) and/or phone carrier? (button)

      1. Yes

      2. No




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    Participate in live videoconferencing

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