Mobile Phone signal survey

1

Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

First line of your address

4

Post Code* This field is required.

6

How long have you been experiencing poor signal?* This field is required.

7

Is the problem constant on specific times of day?* This field is required.

Constant

Other

8

Are you unable to make calls, send texts, or use data (choose all that apply)* This field is required.

Calls

Texts

Data

Other

9

Is the signal poor indoors or outdoors (choose all that apply)* This field is required.

Indoor

Outdoor

10

Have you reported the issue to your network provider?* This field is required.

YESNO

11

Have you noticed any recent changes in coverage or outages?* This field is required.

YESNO

12

List all areas of Priory Vale or Swindon where the issue impacts you* This field is required.

13

Does the problem affect multiple people in your household?* This field is required.

YESNO

14

Would you support a push for improved coverage in Priory Vale?* This field is required.

YESNO

15

Would you like to be kept informed about this issue and future updates?* This field is required.

YESNO

16

Is there any extra information about the problem you would like to share?