Locality Survey

Please enter your full home address (Follow the examples exactly. No PO Box numbers. This is only used to identify demand for broadband services.)
Access at home: Yes
What do you use your home Internet for? (Check all that apply. Business information further down.)
Work from home (i.e. telework)
Operate a home-based business
Online education and training
Transmit large data files
Browsing (i.e. looking at websites)
Email
Music Streaming (E.G. iHeart Radio, Spotify)
News
Online Shopping
Financial/banking transactions|
Search for work
Social Media (e.g. Facebook, Twitter)
Healthcare communications/monitoring (i.e. telehealth)
Video & Phone calls via the Internet (e.g. Skype)
Video Games
Video Streaming (e.g. Netflix, YouTube)
Other
Access at home: No
*TOTAL HOUSEHOLD INCOME IS DEFINED AS INCOME ALL HOUSEHOLD MEMBERS OVER THE AGE OF 17 RECEIVE FROM ALL SOURCES, SUCH AS WAGES, SALARIES, INTEREST INCOME, INVESTMENT INCOME, SOCIAL SECURITY, PUBLIC ASSISTANCE, OR OTHER SOURCES.  
Business Internet Information
Please enter your business' full address (Follow the examples exactly. No PO Box numbers. This is only used to identify demand for broadband services.)