Superfast Broadband in Staffordshire

We are keen to ensure everyone has access to high quality broadband speeds across Staffordshire. Even if you don’t use the internet at the moment we want to know what is holding you back.

We will use this information to lobby for faster broadband for residents and businesses across Staffordshire.

All your responses are completely confidential. The data will be used anonymously and is being collected solely to understand current provision and potential demand in order to improve infrastructure. The reports and results we create do not give out any details about individuals and we do not pass or sell on details to any third parties.

Please complete this form to tell us about your internet connection.

The survey closes on 31 December 2011.

About You

To enable us to map which telephone exchange you are connected to please tell us your postcode and telephone number.

1.
 
2.
 
3.
  Are you responding as:
 
 
A resident
 
 
A business
 
4.
  Please think of all the people in your household who need the internet. Please indicate what effect (if any) faster broadband would have on your internet usage (please select one option per section)
 
 
Email
 
 
For education (e.g. school or college work)
 
 
For more than one person to be online at the same time
 
 
To access public services
 
 
To browse the web
 
 
To set up my own business
 
 
To work from home
 
 
Social networking (e.g. facebook)
 
 
Online gaming (e.g. Xbox)
 
 
Online selling
 
 
Online TV (e.g. BBC iplayer)
 
 
Online shopping (e.g. groceries)
 
   
5.
  Please indicate what effect (if any) faster broadband would have on your business internet usage (please select one option per section)
 
 
Business support
 
 
Business website
 
 
Collaborative working
 
 
Customer service
 
 
Data transfer
 
 
E-learning and training
 
 
Email
 
 
Marketing and sales
 
 
Networking
 
 
Order tracking
 
 
Purchasing
 
 
Recruitment
 
 
Regulatory (e.g. tax returns)
 
 
Remote and flexible working
 
 
Research
 
 
Technical applications
 
 
Transaction processing
 
 
Video communications/conferencing
 
 
Voice communications (VoIP)
 
   

About your internet provision

6.
  Do you currently have internet provision?
7.
  Who is your internet service provider?
   
8.
 
9.
  What type of broadband service do you have?
   
10.
  How do you connect to the Internet?
11.
 
   
12.
  What day did you run the test?
13.
  What time did you run the test?
14.
  If you ticked no, please tell us why you do not have internet provision at the moment (please tick all that apply)
   
The following section asks about your internet needs. While you do not have the internet at the moment we would like you to answer the following questions to help us understand the demand for faster broadband across Staffordshire.

About your internet needs

15.
  Do you want faster speeds from your internet connection?
16.
  What internet connection speed would you like to obtain?
17.
 
18.
  Would you be willing to pay more for an improved internet connection?
19.
  Would you be willing to sign up to take part in a follow up consultation?

If yes please provide your details:

20.
 
21.
 
22.
 
23.
 

Section 2: Equality and Diversity

24.
  Your age - are you:
25.
  Your gender - are you:
26.
  I would describe my ethnic origin as:
   
27.
  Do you consider yourself to have a disability?
28.
  If you consider yourself to be disabled, please specify:
   
29.
 

Thank you for completing this form. All feedback must be received by us by no later than 31 December 2011.

If you have completed a paper copy of this form please return to: Wendy Tompson, Policy and Performance, Wedgwood Building, Tipping Street, Stafford, ST16 2DH.