Pioneer Trails Healthcare Survey Question Title * 1. What is the name of healthcare facility that you work for? Question Title * 2. Where is the facility located? Question Title * 3. Name of person completing this survey: Question Title * 4. Contact phone number: Question Title * 5. What are the key healthcare uses of the internet or other network services, that are necessary on a day to day basis at your organization, where having efficient and reliable broadband service is essential? Question Title * 6. Are the right hardware, software and other tools in place for healthcare providers to utilize broadband in your region? Yes No Question Title * 7. If YES, what tools are in place? If NO, what hardware, software and other equipment do you need? Question Title * 8. Do you feel you have enough choices for broadband carriers in your region? Yes No Question Title * 9. If your answer to the previous question was "No", how many providers do you feel would be an ample number to choose from? 1 to 3 4 to 6 7 to 10 Question Title * 10. Please provide examples of how having the right hardware, software and other tools in place to utilize broadband would improve today's healthcare industry in your region. Question Title * 11. Do your facility or organization's current processes and procedures encourage the use of broadband? Yes No Question Title * 12. Does your facility or organization’s broadband access and availability meet minimum standards for effective healthcare applications? Yes No Question Title * 13. If your answer to the previous question was "YES", how? If "NO", what are the locations that need broadband enhancements and the challenges in getting it there? Question Title * 14. Is broadband technology cost prohibitive? Yes No Question Title * 15. Overall, how important is it to your facility or organization that broadband service availability and adoption issues be addressed in your region? Very Important Important Somewhat Important Not at all important Don’t Know Question Title * 16. What future broadband internet needs do you anticipate for your facility? Question Title * 17. Would you or someone from your facility be willing to serve on a committee to review healthcare broadband internet needs? Yes No Question Title * 18. If yes, please provide your contact information. Done