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Please complete the following form to detail your existing network environment (if any) and identify your problems, needs, and plans.

NOTE: Prior to completing this form you should install a program such as Belarc report generator onto each of your workstations and file server(s). When run, Belarc will generate a detailed report of the configuration or your existing computer hardware.

 Refer to www.belarc.com for information on obtaining a copy of Belarc.

Refer to How to Use Belarc for instructions on using Belarc.

Completed detailed computer configuration reports should be emailed to aci@acicom.com or Faxed to 770-242-8188 attention SA.

Your Personal Information

  Your Name

  Your Email Address

Your Telephone Number with Area Code

  Your Telephone Number Extension

Your Cellular Telephone Number with Area Code

Main / Corporate Location

 Company Name

  Street Address (Main/Corporate Location)

  Street Address Continued

  City

State / Province (United States / Canada only)

  Postal Zip Code

  Company Telephone Number w/Area Code

Number of Current Voice Phone Lines

Existing Network Data Cabling

  Business Hours Monday thru Friday

  Business Hours Saturday

  Business Hours Sunday

Internet Service Provider

  Your Business Website URL Address if any

  Name of  Current Internet Service Provider (ISP)

  Current ISP URL Address

Computer Users

                  First Name                   Last Name                             Position / Title

   1.

   2.

   3.

   4.

   5.

   6.

   7.

   8.

   9.

 10.

 11.

 12.

 13.

 14.

 15.

 16.

 Remote Site Details

Number of Current Remote (Non-Corporate) Sites

Number of Planned Remote (Non-Corporate) Sites

 Remote Site 1

Number of Workstation Computers at Remote Site 1

Planned Number of Workstation Computers at Remote Site 1

  Street Address (Remote Site 1)

  Street Address Continued

  City

State / Province (United States / Canada only)

  Postal Zip Code

  Company Telephone Number w/Area Code

Number of Current Voice Phone Lines

Existing Network Data Cabling

  Business Hours Monday thru Friday

  Business Hours Saturday

  Business Hours Sunday

 Remote Site 2

Number of Workstation Computers at Remote Site 2

Planned Number of Workstation Computers at Remote Site 2

  Street Address (Remote Site 2)

  Street Address Continued

  City

State / Province (United States / Canada only)

  Postal Zip Code

  Company Telephone Number w/Area Code

Number of Current Voice Phone Lines

Existing Network Data Cabling

  Business Hours Monday thru Friday

  Business Hours Saturday

  Business Hours Sunday

 Remote Site 3

Number of Workstation Computers at Remote Site 3

Planned Number of Workstation Computers at Remote Site 3

  Street Address (Remote Site 3)

  Street Address Continued

  City

State / Province (United States / Canada only)

  Postal Zip Code

  Company Telephone Number w/Area Code

Number of Current Voice Phone Lines

Existing Network Data Cabling

  Business Hours Monday thru Friday

  Business Hours Saturday

  Business Hours Sunday

Computer Network or Communication Problems, Needs, Plans

Describe your problems.

 

Describe your needs.

 

Describe your plans.

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Client Survey