WSM connectivity survey

Thank you for your interest in the Wimmera Southern Mallee connectivity survey.

Your feedback will help document the connectivity availability, capability and speed of 3G, 4G and 5G mobile internet services across our region. It will give Wimmera Development Association and relevant stakeholders the data needed to advocate for improvements and recognise the areas most disadvantaged within the Wimmera Southern Mallee.

In order to participate, you will complete the form below to document the speed of your 3G, 4G or 5G mobile internet service at any given time. You can complete this form as many times as you wish between May 1 and 15.

Please note: Any personal, identifable information you share with Wimmera Development Association will be used only for this survey and its analysis and no other purpose. Such information will be destroyed after analysis is complete.

Service provider:*

Please specify

Today's date*

DayMonthYear

My location (will generate automatically):*

Use this link to complete your speed test and enter the results:

PING (ms)*

Download (Mbps)*

Upload (Mbps)*

On a scale of 1 to 5, consider:

Is the speed of your internet connectivity at this location better, worse or the same compared to the period before social distancing? One represents significantly worse and 5 is significantly better.

Please specify: *

	1	2	3	4	5

1 is Worst, 5 is Best

Further observations or comments:

If you consent to a follow-up call to discuss your feedback, please provide your name and a daytime contact phone number below.

Full name:

First NameLast Name

Phone Number

Area CodePhone Number

Thank you for your participation. Click submit to share your feedback.