NextLight Research Opportunity Please enable JavaScript in your browser to complete this form.Contact InformationName *Phone *Email *Postal Code *City *Which of the following is your preferred gender recognition: *Select OptionFemaleMalePrefer to self-identifyPrefer not to answerPrefer to self-identify *For this study, we need to include the opinions of people of different ages. What is your age? *Select Option19 and younger20-2525-2930-3940-4950-5960-6970-7980 or olderWhich of these best describes your employment status? *Select OptionEmployed full-time (more than 35 hours per week)Employed part-time (less than 35 hours per week)Not currently employedFull-time parent (stay at home) with full-time spouseStudentRetiredWhich of the following best represents your household income? *Select OptionUnder $50,000$50,000 - $59,999$60,000 - $69,999$70,000 - $79,999$80,000 - $89,999$90,000 - $99,999$100,000 or moreWe’re looking for a variety of different people to participate. Which of the following best describes your ethnicity? *Select OptionWhite/CaucasianBlack/African-AmericanHispanic/LatinoAsian; Pacific IslanderNorth African/Middle EasternNative AmericanOtherWhich of the following statements best describes your level of responsibility for the household's internet & mobile phone services? *Select OptionI make most or all of the household internet and mobile phone decisionsI equally share the responsibility with another household memberAnother household member does all or most of the household internet and mobile phone service decisionsWhich of the following internet providers have you heard of or are familiar with (select all that apply)? *XfinityCenturyLinkQuantumNextLightVerizon Home InternetEarthlinkWho is your current internet provider? *Select OptionXfinityCenturyLinkNextLightVerizon Home InternetEarthlinkOtherDo you have mobile phone services through your Internet Service Provider? *Select OptionYesNoAre you interested in learning more about mobile phone service offered by your ISP? *Select OptionYesNoMaybeWould you be available to complete a survey and receive $25 for your participation during the month of January? *Select OptionYesNoMaybeAre you interested in future research opportunities through the City of Longmont and NextLight? *Select OptionYesNoSubmit