News & Site Updates:

	New Site Layout
	Pay Online Now
	New Numbers
	Online Surveys
	Incentive Program
	New Site Map
	*...More News*

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Internet Customer Survey

This survey will only take 1 minute to complete. We appreciate you taking the time to submit your opinions and comments to us.

Please complete the following survey and then click SUBMIT at the bottom of the page.

Personal Information:

Name

City

State/Province

Zip/Postal Code

Country

E-mail

How long have you used our service?

Under 1 month
1 - 6 months
6 months - 1 year
Over 1 year
Never used

From what location are your connecting to the internet?

Work
Home Office
Home
School
Other

What is your internet connection speed?

Don't Know
Less than 33k
56k
ISDN
Cable Modem
DSL
T1 or Higher
Other

How long do you usually surf the internet every week?

Less than 1 hour
1-4 hours
5-10 hours
10-20 hours
Over 20 hours

How would you rate our website design & content?

Excellent
Good
Fair
Poor
Other

Any additional comments?

Web Site Design and Development by www.eNicola.com

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