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Digital Equity & Broadband Infrastructure Survey

Region 1 Planning Council is surveying members of the community to identify gaps in broadband access and digital equity.

If you have any questions or concerns, please contact Molli Naber at mnaber@r1planning.org or (815) 319-4192.

1. What type of internet user are you? If you operate a home business, please select "Home." *This question is required.

Please enter an 'other' value for this selection.
Please enter an 'other' value for this selection.

2. Please provide your complete property address. This will allow us to map infrastructure connectivity & will not be shared with external parties. *This question is required.

Address
City
State
Zip Code

3. Please describe your existing internet access. *This question is required.

4. Is the device you are currently using connected to your home's or business's internet? *This question is required.

4. Please follow the link to the Speed Test and report your results. Test your speed *This question is required.

	Download Speed (Mbps)
	Upload Speed (Mbps)
	Latency (ms)
	Jitter (ms)

4. Please indicate the devices, excluding cellular phones, that you use at this location. *This question is required.

	Computers
	Tablets
	iPads
	Medical Devices
	Gaming Consoles
	Other (Please Specify)

5. How many smartphones do you have at this location? *This question is required.

6. Which internet companies offer service to your location? Please select all that apply.

6. Do you sometimes have to use your cellular data plan or another provider when your primary internet connection is not working? If so, please name the cellular provider. *This question is required.

Please enter an 'other' value for this selection.

6. Please describe your level of satisfaction for the following internet service criteria: *This question is required.

Space Cell	Not Satisfied	Neutral	Satisfied
Affordability	Affordability: Not Satisfied	Affordability: Neutral	Affordability: Satisfied
Speed	Speed: Not Satisfied	Speed: Neutral	Speed: Satisfied
Reliability	Reliability: Not Satisfied	Reliability: Neutral	Reliability: Satisfied

6. Does at least one person at this location... (select all that apply) *This question is required.

Operate a home business
Work at home, full- or part-time
Attend school online, full- or part-time
Use internet for K-12 student assignments
None of the above

7. Please tell us why you do not have fixed internet access at your location *This question is required.

Do not need or want an internet subscription
No services are offered at my location
The price of available internet subscriptions is too high
The internet speeds are too low
The service is not reliable
Other - Please Specify (Required)

7. How are you currently, or hope to be using, your internet connection (select all that apply) *This question is required.

Space Cell	Currently using the internet to:	Hope to use the internet to:	Not Applicable
Access Government Information (Taxes, Resources)	Access Government Information (Taxes, Resources): Currently using the internet to:	Access Government Information (Taxes, Resources): Hope to use the internet to:	Access Government Information (Taxes, Resources): Not Applicable
Communication (Emails, video calls, social media)	Communication (Emails, video calls, social media): Currently using the internet to:	Communication (Emails, video calls, social media): Hope to use the internet to:	Communication (Emails, video calls, social media): Not Applicable
Education (K-12, higher education)	Education (K-12, higher education): Currently using the internet to:	Education (K-12, higher education): Hope to use the internet to:	Education (K-12, higher education): Not Applicable
Entertainment (Video/music streaming, gaming)	Entertainment (Video/music streaming, gaming): Currently using the internet to:	Entertainment (Video/music streaming, gaming): Hope to use the internet to:	Entertainment (Video/music streaming, gaming): Not Applicable
Healthcare Information and Services	Healthcare Information and Services: Currently using the internet to:	Healthcare Information and Services: Hope to use the internet to:	Healthcare Information and Services: Not Applicable
Banking & Financial Management	Banking & Financial Management: Currently using the internet to:	Banking & Financial Management: Hope to use the internet to:	Banking & Financial Management: Not Applicable
Working from Home (Home-business, telework)	Working from Home (Home-business, telework): Currently using the internet to:	Working from Home (Home-business, telework): Hope to use the internet to:	Working from Home (Home-business, telework): Not Applicable

8. How well does your current internet access support these functions? *This question is required.

Space Cell	Not Applicable	Poor	Good	Excellent
Access government information (Tax Information, Resources)	Access government information (Tax Information, Resources): Not Applicable	Access government information (Tax Information, Resources): Poor	Access government information (Tax Information, Resources): Good	Access government information (Tax Information, Resources): Excellent
Communication (Emails, video calls, social media)	Communication (Emails, video calls, social media): Not Applicable	Communication (Emails, video calls, social media): Poor	Communication (Emails, video calls, social media): Good	Communication (Emails, video calls, social media): Excellent
Education (K-12, higher education)	Education (K-12, higher education): Not Applicable	Education (K-12, higher education): Poor	Education (K-12, higher education): Good	Education (K-12, higher education): Excellent
Entertainment (Video/music streaming, gaming)	Entertainment (Video/music streaming, gaming): Not Applicable	Entertainment (Video/music streaming, gaming): Poor	Entertainment (Video/music streaming, gaming): Good	Entertainment (Video/music streaming, gaming): Excellent
Healthcare Information and Services	Healthcare Information and Services: Not Applicable	Healthcare Information and Services: Poor	Healthcare Information and Services: Good	Healthcare Information and Services: Excellent
Banking & Financial Management	Banking & Financial Management: Not Applicable	Banking & Financial Management: Poor	Banking & Financial Management: Good	Banking & Financial Management: Excellent
Working from Home (Home-business, telework)	Working from Home (Home-business, telework): Not Applicable	Working from Home (Home-business, telework): Poor	Working from Home (Home-business, telework): Good	Working from Home (Home-business, telework): Excellent

8. In your opinion, are there sufficient internet service provider choices at your location? *This question is required.

9. What is the maximum monthly price you would be willing to pay for 100 Mbps (high speed up/down) service? *This question is required.

10. Please feel free to share anything else about your broadband service or need for digital equity programs.