Home Fiber Interest Survey Form

Full Name

First NameLast Name

Are you a homeowner or tenant?

Property Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Current Internet Provider

How satisfied are you with your current internet speed?

Would you be interested in switching to fiber internet service?

How important is high-speed internet for your household?

What download speed would you consider ideal?

Please share any additional comments or questions about fiber internet in your area.