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| Which category best describes your level of education? |
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| Do you live and work in the same city/community? |
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| Approximately how many miles away do you live from the community you work in? | | |
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Please check all that apply
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| What response(s) best describe your employment and/or involvement within the community? |
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| Do you have a computer in your home? |
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If you have Internet access at home how often do you generally use it?
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Check the response that corresponds with your level of computer use in each area.
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Characterize your Internet connection at home:
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If you have Internet access at work how often do you use it?
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Characterize your Internet connection at work:
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Do you have children attending a local school?
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If you have school-aged children, what information or communication is available online from your local school?
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What is your annual gross household income?
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PART II: COMMUNITY BACKGROUND
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| What is the zip code of your city/town? | | |
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What is your expectation for your community's population growth within the next 5-10 years?
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| Which of these issues would you classify as the most important issue your community will face in the future? |
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My community has well-developed programs in place to encourage and support entrepreneurial activity.
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My community recognizes the importance of entrepreneurs to the overall economic development of the region.
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| We would appreciate any additional comments you may have regarding your communities efforts to encourage and/or support entrepreneurship locally. | | |
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Overall, how do you perceive your community’s level of ICT access compares to other communities?
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Overall, how do you perceive your community’s level of ICT usage compares to other communities?
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Please indicate the types of Internet access that are available in your community.
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Please rate the quality of service for the types of Internet service available in your community.
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| What is the approximate monthly cost for a basic high speed broadband package? | | |
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| What is the approximate access (start-up) cost for Internet service in your community? | | |
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Regarding availability and quality of service, rate your community’s Internet access and services compared to other surrounding communities:
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PART III: COMMUNITY TECHNOLOGY POLICIES
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Does your community currently have a community ICT master plan?
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| If you answered yes to the question above, please briefly describe the goals or objectives of this master plan. | | |
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| Indicate where ICT development is formally addressed in your community’s official planning efforts?
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Information communication technology (ICT) planning and plan implementation is within the purview of my communities’ objectives and responsibilities?
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Rate the importance of the following constraints as they relate to your communities ability to improve telecommunications infrastructure?
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PART IV: COMMUNITY ICT PLANNING AND IMPLEMENTATION
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| Briefly explain what you consider to be the primary barrier your community faces in improving telecommunications infrastructure. | | |
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Which phase(s) of community ICT infrastructure development has your city/town been involved in?
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| Where are you obtaining the technical information you need to inform your decision making process? |
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| Who are the targeted users of your community’s investment in ICT infrastructure? [Please check all that apply] |
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| Identify the primary reason(s) for your community’s involvement in ICT infrastructure investment? (check all that apply) |
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| How did you fund these projects? (please check all that apply) |
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| What are the services that your community plans to provide--- or is providing --- with these investments? (check all that apply) |
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How would you classify the local opposition to public involvement in this project?
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| Any additional comments you have concerning community opposition would be appreciated. | | |
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The following community organizations or agencies have expressed opposition towards public involvement in ICT investments?
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The following community organizations or agencies have expressed support for public involvement in ICT investments?
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| Please comment further about any issues you believe are relevant with regard to your community's ICT investment or ICT investment in general. | | |
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PART V: ICT AND QUALITY OF LIFE ISSUES
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How important is ICT to the future of these different community sectors?
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Rate the importance of using Information Communications Technology (ICT) to advance the following community strategies as they relate to business and economic development:
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Rate the importance of using Information Communications Technology (ICT) to advance the following community activities as they relate to city, county, and other public business.
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Rate the importance of using ICT for achieving or enhancing broader community well-being issues.
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Would you be interested in survey results?
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| Please let us know if we can provide any additional information for you concerning any of the topics within this survey. | | |
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| Name: | | | | Company | | | | Work Phone | | | | Mailing Address | | | | Zip | | | | Email | | |
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