This document provides an overview and findings of a survey conducted by the Myers Group to assess videoconferencing capabilities in the Appalachian region on behalf of the Appalachian Regional Commission (ARC) and Development District Association of Appalachia (DDAA). The survey aimed to identify publicly accessible videoconferencing sites, their technologies, and use by Local Development Districts (LDDs) to address gaps and facilitate improved regional collaboration. Key findings included variable technologies, standards, and infrastructure impacting interoperability. Many distressed counties lacked sites. The report recommends improving LDD communication and coordination, leveraging new technologies, adopting standards, and targeting development to expand access.