This questionnaire will take 10 minutes to complete.
Do you have an at-home broadband internet subscription?
YesHow much do you pay for your at-home internet subscription?
Less than $25 per monthWhat kind of connection do you have?
Wired or EthernetHow reliable is your at-home broadband subscription?
Very reliableHow much would you be willing to pay for a monthly at-home broadband internet subscription? (please check all that apply)
Less than $25 per monthIf you do not have an at-home broadband internet subscription, why not? (please check all that apply)
Difficulty to use the technologyWhat is your age group?
Age 18-24How often do you use the internet for the following categories? Please select your frequency of use for each of the activities mentioned below.
| Daily | Weekly | Monthly | Yearly | Occasionally | Never used | |
|---|---|---|---|---|---|---|
| Remote learning | ||||||
| Working from home/ Remote work | ||||||
| Telehealth (Medical and mental health services) | ||||||
| Banking | ||||||
| Grocery shopping | ||||||
| Virtual job search and career fairs | ||||||
| Wellness (Physical, spiritual, social, and personal development services) | ||||||
| Entrepreneurial / e-commerce | ||||||
| Online entertainment | ||||||
| Communicating with friends and family by text and email | ||||||
| Communicating with friends and family by video | ||||||
| Online gaming platforms | ||||||
| Social Media |
Do you own a computing device?
YesWhat kind of computing device do you have? Please select all options that apply.
SmartphoneDid you receive a computing device or hotspot from an organization/provider (e.g. PCs for People, local school, library, etc.) in your community?
YesHow many and what type of devices did you receive? Please indicate the number for each type of device received in the spaces provided.
Please fill the name of the organization/provider/program through which you received the device in the space below.
Did you receive any federal/state/local monetary assistance or discount to cover full/partial costs of your computing devices/internet subscription?
YesPlease indicate the discount/assistance dollar amount you received to cover full/partial costs of your computing devices or internet subscription:
Please fill the name of the organization/provider/program through which you received the discount/assistance in the space below.
Please share additional details about your most important broadband needs in the space provided below.
What introductory technology training would you like to receive to improve your personal and professional development?
Basic computer skills / EmailThere are programs to help people afford broadband services and computers. Are you interested in being connected to these opportunities?
I already participated.Please provide your name, email address and/or phone number to be contacted about low-cost devices and/or computer, Internet and workforce programs.
What is your age group?
18-24Please describe your race.
AsianWhich of the following best represents the highest level of education that you have completed?
Some high school or lessWhat is your employment status?
Working full time for payWhich of the following best describes your total household income before taxes last year?
Under $25,000