Business name:
Business headquarters address:
Business e-mail address:
Website address:
Business description:
Main business phone number:
1-800 number:
Number of business locations (offices):
Number of employees:
Number of computer workstations:
Number of surge/UPS protection units:
Are computers networked: Yes No
Is the “System Administrator” OnSite? Yes No
If so, Name of Person:
Number of Printers: Number of Scanners: Number of Faxes: Number of Copiers:
Internet Access: Yes No
Internet Service Provider:
Custom Software Used: Yes No Vendor’s Name:
What Packages are being used?:
Name of Software Co. Contact Person
Contact’s Phone Number:
List Other Software Used:
Do You Back-up Computer Data Onsite: Yes No How Often?
Vendor’s Name:
Future Technology Growth Plans:
Questionnaire Prepared By:

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