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Tell Us What You Think

1. Contact Information *This question is required.

First Name

Last Name

What is your email address?

City

State

Zip

2. Select the topic you would like to provide feedback on. *This question is required.

Connectivity

3. Do you have regular access to the internet today? (Please check all that apply)

I have regular access to the internet through a home broadband subscription (i.e.,cable, fiber optic, DSL, satellite, or fixed wireless subscription)
I have regular access to the internet through a mobile phone subscription
I have regular access to the internet through another mechanism (e.g., free Internet service provided by my town, city, or school)
I do not have regular access to the internet

3. Are you satisfied with your current method of internet access?

3. What, if anything, are you unable to do with your current method of internet access?

3. What is the primary reason you do not subscribe to a home broadband service today?

3. What could be done to help you secure regular, reliable internet access in your home?

3. Approximately what % of your monthly income do you spend on your home broadband subscription?

100%

3. Are you satisfied with your current method of internet access?

3. When selecting a home broadband service provider, how many providers are available to choose from? This question requires a valid number format.

3. What, if any, improvements could be made to your current method of internet access?

3. Have you ever tried to pay for broadband through the federal Lifeline program?

3. How was your experience with the federal Lifeline program?

3. Have you ever tried to secure broadband access through an internet provider’s affordable access program targeted at individuals participating in certain government assistance programs (e.g., Spectrum Internet Assist, Altice Advantage, Comcast Internet Essentials)?

3. Which internet service provider?

3. How was your experience with that internet service provider’s affordable access program?

Telehealth

3. Are you a medical provider?

3. Do you use telehealth in your medical practice?

3. What is your area of practice?

3. Other profession:

3. Do you view the quality of care you provide as being on par with that of in-person care?

Significantly Worse	Worse	Same	Better	Significantly Better
Significantly Worse	Worse	Same	Better	Significantly Better

3. What would it take for you to increase your use of telehealth, and/or expand your use of telehealth to patients who do not use it today?

3. What would it take for the quality and efficacy of telehealth services you provide to improve?

3. What is your area of practice?

3. Other profession:

3. Why do you choose not to use telehealth?

3. What would it take for you to start using telehealth?

3. Have you ever had a telehealth visit as a patient?

3. On a scale from 1 to 5, how likely are you to use telehealth again?

Not Very Likely	Not Likely	Neutral	Likely	Very Likely
Not Very Likely	Not Likely	Neutral	Likely	Very Likely

3. Why?

3. What would have improved your telehealth visit (e.g., made it easier for you, improved the quality of the experience / care you received)?

3. Have you foregone a medical visit because you preferred to avoid telehealth?

3. Why have you chosen not to use telehealth in the past?

3. What would it take for you to view telehealth as an attractive option for medical care?

Work

3. Which of the following best describes your employment situation?

3. Have you lost or partially lost employment in 2020?

3. Are you hoping to return to your job or industry that you were previously employed in?

3. Are you looking to enter a different industry or occupation?

3. Have you enrolled or considered enrolling in a job training program to obtain that new position?

3. Which program?

3. Describe your experience.

3. Tell us about your experience looking for a job or seeking job training:

3. How can the process be improved?

3. Has your workplace had to undergo changes to continue operating during COVID-19?

3. If your work situation has changed, do you anticipate those changes will persist when work is able to return to normal?

3. Please describe:

3. What support has been offered to employees?

3. Please describe the "other" support that has been offered to employees:

3. Do you feel financially secure?

3. Do you feel physically safe?

3. Please describe:

3. What is the approximate size of your business?

3. How much has COVID-19 impacted your operations?

Not at all	Barely	Somewhat	Minor effects	Major effects
Not at all	Barely	Somewhat	Minor effects	Major effects

3. What has been the biggest challenge your business has faced during COVID-19?

3. What steps has your business taken to adapt to COVID-19?

3. Have you laid off or furloughed employees?

3. What types of workers?

3. What percentage of your workforce?

100%

3. If you have made changes to you work arrangements for your employees (e.g. remote work), do you anticipate that these changes will persist when work is able to return to normal?

3. Please describe:

3. Have you tried to access government support services for assistance?

3. What types of government services have you accessed successfully (e.g., COVID support funds, small business programs, etc.)?

3. How could government services be improved?

3. Do your current employees have the skills needed to adapt to COVID-19 business operations?

3. What skills do your employees need for your business to succeed?

All responses are subject to New York’s Freedom of Information Law. Accordingly, please do not share any confidential, personal, or patient information. To protect privacy, responses will be attributed by first name only to the extent practicable and consistent with State law.