Network Upgrade Consultation Form
Please fill out this form to help us understand your network upgrade needs.
Full Name
First Name
Last Name
Company Name
Optional
Service Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Current Plan Details
Internet Provider
Please Select
Xfinity
Spectrum
Gateway
Other
What's your current internet speed?
Please Select
Basic (Less than 200 Mbps)
Moderate (200-499 Mbps)
Fast (500 Mbps-1Gbs)
Extreme (Up to 2Gbs)
This information is available on your internet bill. You can run a speed test by visiting: https://www.speedtest.net/
Do you currently rent your cable modem/router?
Please Select
Yes
No
Do you have a landline phone?
Please Select
Yes
No
Do you use DVR service?
Please Select
Yes
No
Not sure
How many cable boxes do you have?
Please Select
0
1
2+
Current Network Setup
Roughly how large is your home?
Please Select
Up to 1,000 sq ft
Up to 2,000 sq ft
Up to 3,000 sq ft
Over 3,000 sq ft
How many floors does your home have?
Please Select
One
Two
Three or more
Do you experience wi-fi issues or dead spots in your home?
Please Select
Yes
No
Sometimes
Is the router centrally located?
Please Select
Yes
No
Which room/floor is your modem/router located?
How many of each device type do you use regularly?
Rows
Quantity
Smartphones
Laptops/Desktops
Smart TVs
Streaming Devices
Gaming Consoles
Printers
Other
Security Cameras
Outdoor Devices
Total Device Count
What are your goals for the network upgrade?
Additional Comments or Questions
Wi-Fi Needs
Submit
Should be Empty: