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Fields
Company Name
*
Name
*
First Name
*
Last Name
*
Title/Role
*
When you canceled your Pilot service, it was because:
*
We moved to a new office building that didn’t have Pilot
We moved to a new office building and Pilot couldn’t meet our install timeline
We moved floors within the same building
We moved to be permanently remote
Other:
Other Value
Which best describes your involvement in purchasing internet?
*
I am the decision maker
I am involved in the decision making process
I am not involved
Are you open to working with Pilot for your internet service again?
*
Yes
No
We're sorry to hear that! Would you mind sharing why?
*
Which best describes your current office operations?
*
All remote
All in office
Hybrid
What's your office's address?
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Who is your current internet provider?
*
How much time is left in your contract?
*
No contract
Less than 3 months
3-6 months
6 months-1 year
More than a year
Do you have a backup provider?
*
Yes
No but we’re interested in one
No and we don’t want one
Who is your backup internet provider?
*
How much time is left in the contract for your backup?
*
No contract
Less than 3 months
3-6 months
6 months-1 year
More than a year
When do you plan on going back to an office?
*
Within the next 3 months
3-6 months
6 months-1 year
More than a year
Never
Unsure
When you return to the office, where will that office be located?
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands (US)
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces (the) Americas
Armed Forces Europe
Armed Forces Pacific
Army Post Office (U.S. Army and U.S. Air Force)
Fleet Post Office (U.S. Navy and U.S. Marine Corps)
State
ZIP Code
Would you like the $20 Amazon gift card?
*
Yes
No
Work Email Address
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