--- generated_by: surveylegend-page-markdown title: Internet Speed Feedback Survey Form | SurveyLegend description: Collect campus Wi‑Fi feedback by area, task and symptom—without confusing a survey with a speed test. Adapt seven questions in SurveyLegend. canonical: https://www.surveylegend.com/survey-examples-templates/technology-digital-experience-surveys/internet-speed-form-template/ --- # Internet Speed Feedback Survey Form “Slow internet” can mean a stalled video call in one hallway or a file that will not upload at midday. This internet speed feedback survey form records the task, place and symptom so a campus network team knows where to investigate. It does not run a speed test. [Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/technology-digital-experience-surveys/internet-speed-form-template/#try-template) Preview on a device Show the desktop survey layout Show the tablet survey layout Show the mobile survey layout ![](https://www.surveylegend.com/survey-template-media/demo-backgrounds/internet-speed-form-template-background.avif) **SurveyLegend** 1 / 7 Internet Speed Feedback Survey Form Which campus area were you in when you last noticed the connection problem? Library or study space Classroom or lecture room Hallway or common area +5 more answer choices Next → Internet Speed Feedback Survey Form [Preview](https://www.surveylegend.com/survey-examples-templates/technology-digital-experience-surveys/internet-speed-form-template/#try-template) Share [Facebook ](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Ftechnology-digital-experience-surveys%2Finternet-speed-form-template%2F)[LinkedIn ](https://www.linkedin.com/sharing/share-offsite/?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Ftechnology-digital-experience-surveys%2Finternet-speed-form-template%2F)[X ](https://x.com/intent/tweet?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Ftechnology-digital-experience-surveys%2Finternet-speed-form-template%2F\&text=Internet%20Speed%20Feedback%20Survey%20Form)[Reddit](https://www.reddit.com/submit?url=https%3A%2F%2Fwww.surveylegend.com%2Fsurvey-examples-templates%2Ftechnology-digital-experience-surveys%2Finternet-speed-form-template%2F\&title=Internet%20Speed%20Feedback%20Survey%20Form) “Slow internet” can mean a stalled video call in one hallway or a file that will not upload at midday. This internet speed feedback survey form records the task, place and symptom so a campus network team knows where to investigate. It does not run a speed test. ## Record the Experience, Then Measure the Network Ask adult campus Wi‑Fi users about the past seven days and name the exact network in the invitation. A 2024 IPB University thesis measured throughput, delay, jitter and packet loss across campus locations and tasks, then separately surveyed 50 students. Its abstract reports “a survey of 50 students rated connection speed at 3.04 (fair).” [Read the university thesis abstract ](https://repository.ipb.ac.id/handle/123456789/154209). That distinction matters: a person's rating and a network instrument's Mbps, delay or packet loss are different evidence. The IPB results describe one campus and do not validate this original SurveyLegend form. ## When to Use This Internet Speed Survey Form Use the form to find repeat patterns that an IT team can investigate: areas, activities, symptoms and time bands. It is a feedback channel, not an automated diagnostic or ticketing system. If the question is whether learners have the devices and access needed before coursework, SurveyLegend's [student technology ](https://www.surveylegend.com/survey-examples-templates/education-school-teacher-surveys/student-technology-template/)survey serves that different task. If a particular person needs a reply about a current fault, use a monitored [support request ](https://www.surveylegend.com/survey-examples-templates/web-forms-questionnaires/support-request-form-template/)route rather than treating this anonymous-pattern questionnaire as an incident report. **Create your internet speed feedback survey form in SurveyLegend** Ask adult campus Wi‑Fi users about the past seven days and name the exact network in the invitation. A 2024 IPB University thesis measured throughput, delay, jitter and packet loss across campus locations and tasks, then separately surveyed 50 students. ## 7 Internet Speed Feedback Questions These seven questions refer to one named campus Wi‑Fi network and the past seven days. Every item is optional and shown without branching. Choose one answer for listed options; skip any irrelevant item. Do not enter passwords or personal records. Try the survey ## A little feedback. A clearer picture. Explore this 7-question example at your own pace. Every question is optional. Preview on a device Show the survey at full desktop width Resize the survey to a tablet-width preview Resize the survey to a mobile preview with scrolling inside the frame Choose a look Use Classic: a white survey card over the background photo Use Light: dark text over a light tint covering the background photo Use Dark: light text over a dark tint covering the background photo SurveyLegend demo Question 1 of 7 ### Internet Speed Feedback Survey Form 01 Which campus area were you in when you last noticed the connection problem? Choose one answer, or skip this question. Library or study space Classroom or lecture room Hallway or common area Office or staff area Outside on campus Another campus area I have not noticed a problem Prefer not to say 02 What were you trying to do on the campus Wi‑Fi at that time? Choose one answer, or skip this question. Join a video call Open a learning or work site Stream instructional video Download or upload a file Browse or email Another task I was not using campus Wi‑Fi 03 What happened most often? Choose one answer, or skip this question. Pages or files loaded slowly Video or audio stalled The connection dropped I could not connect Another problem No problem Not sure 04 How often did this happen in the past seven days? Choose one answer, or skip this question. Once Two or three times Four or more times It was persistent whenever I tried It did not happen I did not use the network Not sure 05 When did it mainly happen? Choose one answer, or skip this question. Morning Midday Afternoon Evening At different times It did not happen Not sure 06 How much did it interrupt the task you were trying to complete? Choose one answer, or skip this question. Not at all A little Moderately A lot I could not complete it I did not have a problem Not sure 07 What one example would help the network team investigate this pattern? Share your answer, or skip this question. #### One last look Review your answers before submitting this demo. 0 answered #### Thank you for trying the survey! You’ve tried the template from the respondent’s side. Make it your own with SurveyLegend. [Create your own survey](https://www.surveylegend.com/register/) Checking submission availability… This is a demo. We count starts and submissions only. Your answers stay in your browser and are never sent or saved. **—**Starts **—**Submissions Activity is temporarily unavailable. ## How to Adapt the Form Replace “campus Wi‑Fi” with the real network and map the broad area labels to locations your team can inspect without collecting exact private room numbers. Keep the seven-day window unless there is a clear operational reason to change it. Provide an alternative paper or offline route—people with no connection may not reach an online form. State who reviews replies and the real support contact for urgent service interruptions. An IT team should pair recurring complaints with its own authorized network measurements before changing infrastructure. ## Printable Internet Speed Feedback Form Create a real selectable-text PDF with all seven questions and identical choices, the named network, the seven-day window, writing room, and instructions not to include credentials. State where to return paper responses and the actual urgent support route. Paper answers need manual review; they are not automatically included in the online demo. ![First page of the printable Internet Speed Feedback Survey Form with questions and answer spaces](https://www.surveylegend.com/survey-template-media/pdf-previews/internet-speed-form-template-pdf-preview.avif) [![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download the internet speed feedback form PDF](https://www.surveylegend.com/downloads/survey-templates/internet-speed-feedback-survey-form-template.pdf) Export Internet Speed Feedback Form as PDF ## AI Prompt for an Internet Speed Feedback Form Copy the exact field specification into an AI assistant, then check the network name, area labels and support route before creating the SurveyLegend form. ## Internet Speed Feedback Form Creation Prompt AI Prompt for an Internet Speed Feedback Form [](https://www.surveylegend.com/register/) Copy the prompt into an AI assistant to draft the questions, then build your survey in SurveyLegend. Already have an account? [Sign in](https://app.surveylegend.com/login/) to create your internet speed feedback form. ## Spot Patterns Without Inventing Mbps Review location (Q1), activity (Q2) and symptom (Q3) together, then filter by recent frequency (Q4) and time band (Q5). A recurring video-call problem at midday calls for a different network check from an isolated login failure. Q6 tells the team what users could not complete; Q7 gives context but should be screened for accidentally shared personal details. These are voluntary reports and may miss people unable to connect at all. SurveyLegend does not calculate actual bandwidth from these answers. For individual troubleshooting and replies, direct users to the [support request ](https://www.surveylegend.com/survey-examples-templates/web-forms-questionnaires/support-request-form-template/)form or a real service desk. ## Frequently asked questions ### Does this form measure download speed or latency? No. It records perceived connection problems. Authorized network tests or logs are needed to measure throughput, delay, jitter and packet loss. ### What if people cannot open the survey because the Wi‑Fi is down? Offer an offline or alternative-network route and a real support contact. Otherwise, the worst access problems may be missing from the responses. ### Can this replace a help-desk ticket? No. The example does not create a ticket or guarantee a response. Use an existing monitored support process for an individual issue. Technology & Digital Experience Survey Templates 1. [![Preview of the Website Feedback Survey demo showing its first question and answer options](https://www.surveylegend.com/survey-template-media/previews/website-feedback-demo-preview.avif) Website Feedback Survey Template Technology & digital experience This website feedback survey template helps you learn why visitors came to your website, whether they completed their task, and what got in the way. 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