HUD Broadband Research Project

U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT WASHINGTON, DC 20410-3000

Residential Broadband Survey

Please take a moment to complete this survey on broadband availability and usage in HUD-assisted housing. Please complete this form for each individual development in your jurisdiction. When you’re done, return questionnaires via e-mail to XXX@hud.gov or fax to XXX-XXX-XXX. You may provide further comments on additional pages.

Development Name
Address
E-Mail Contact:
1. Is there broadband service available to this building? Cable, DSL, fiber optic or wireless are broadband; dial-up modem is NOT broadband Yes No Don’t Know
2. If you answered yes to Question 1, what type of broadband service is available in this development? Please check all that apply. Cable DSL Wireless Fiber Optic (eg Verizon Fios) Other (please describe) __________________________________________________________________________________________ Don’t Know
3. Is there broadband internet service available to individual resident units in this development? Yes No Don’t Know
4. Approximately how many residents of this development own their own computer? 0 – 25% 25 – 50% 50 – 75% 75% or more Don’t Know
5. If it is available, how many residents of this development subscribe to broadband internet service? 0 – 25% 25 – 50% 50 – 75% 75% or more Don’t Know
6. Are there any programs available in the neighborhood to residents of this development to develop digital skills -- e.g. after school programs or at libraries or community centers? If yes, please describe. Yes No Don’t Know