Pico Union Engagement Survey
This survey will help us further understand the digital needs that exist in the Pico-Union neighborhood of Los Angeles.
Please enter below the information related to the person assisted.
Name | Nombre (Only the first name. Any name after a space, should be added as a middle name)
Middle Name | Segundo Nombre
BOTH Last Names |
Apellidos
Phone number | Teléfono móvil
What is your zip code? | Codigo Postal
Please select...
90006
90007
90015
None of the three zip codes above
END the Interview.
Do you have an internet service provider? | Tiene servicio de internet en la casa
Please select...
Yes
No
Who is your internet service provider? | Que compania es su proveedor?
Please select...
AT&T
Spectrum
Verizon
Other
Prefer Not to Answer
What kind of obstacles make it difficult for you to have access to the internet? | Cuales son los obstaculos para tener servicio de internet
Please select...
Economic
Not sure how to get internet access
Don’t need internet access
Other
How many people live in your household? | Cuantas personas viven en su hogar?
Please select...
1-2
3-4
5-6
More than 6
Prefer not to answer
Was there ever a time when you really needed access to the internet? | Hubo un momento en que necesitaba el servicio y no lo tenia disponible?
Please select...
Yes
No
Not sure
What do you use your internet service for the most? | Para que utiliza la internet mas frequentemente?
Please select...
Streaming (e.g., Netflix, YouTube)
School
Work
Social Media
Gaming
Other
How much do you pay for your internet service each month? | Cuanto paga por internet al mes?
Please select...
$20-30
$30-40
$40-50
More than $60
Prefer not to answer
How much would you be able to pay for a more affordable internet service each month if it were available? |
¿Cuánto podrías pagar cada mes por un servicio de internet más asequible si estuviera disponible ?
Please select...
$10-15
$15-20
$25-30
$30-35
$35-40
I cannot afford internet at all
END the Interview.
How satisfied are you with the speed of your internet? | Cuan satisfecho se encuentra con su servicio de internet?
Please select...
Very Satisfied
Satisfied
Not Satisfied
Not Very Satisfied
Not sure
Would you be interested in switching to an affordable internet service if it were available? |
¿Le interesaría cambiarse a un servicio de internet asequible si estuviera disponible?
Please select...
Yes
No
Maybe
Le podemos enviar comunicados de CHIRLA acerca de este o otros programas, servicios o eventos que apoyan a nuestra comunidad inmigrante via texto o email ?
No
Account Name