*First Name
*Last Name
Phone Number
*Email
Street
*City
Province
AB
BC
Sask
Man
Ontario
Preferred method of contact
Email
telephone
fax
No preference
Web Site Inquiry
Complete Site design
Alternate Site Version
Web site makeover
Web site maintenance
E-commerce
please indicate the features you would like incorporated into your site:
D o you have a current site...if so, what is the URL?..
Approximate number of pages desired:
1 to 5
5 to 10
10 to 15
15 to 30
more than 30
When do you want to begin work on this project?
Immediately
1 week
2 weeks
around 1 month
6 weeks or more
What is your budget range?
$0 to $1000
$1000 to $1500
$1500 to $2000
$2000 to $4000
$5000 to $10,000
over $10,000
Please list any additional comments about your needs or preferences including: deadlines, design requirements, or any other details about what you want to
accomplish in this site.
Any extra details can help!
Network I nquiry
Microsoft
Novell
Linux
OS2
Mixed environment
What is your
current Network Environment
(Check all that apply)
How many servers do you have?
1 to 5
5 to 10
10 to 15
15 to 30
more than 30
How many workstations do you have?
1 to 5
5 to 10
10 to 15
15 to 30
more than 30
Do you have an internet connection? Yes No
If yes who is it with. If not selected please type in the ISP that you currently use.
Shaw
Telus
Interbaun
Other
Do you have more than one office location? Yes
No
Do you have a backup system currently? Yes No
If yes please tell us your current process of backing up your system Any extra details can help!
How important is security in your office? High Medium Low
How important is your data in your office? High
Medium
Low
What is your budget range?
$0 to $1000
$1000 to $1500
$1500 to $2000
$2000 to $4000
$5000 to $10,000
over $10,000
Please list any additional comments about your needs or preferences that you might want to have accomplished Any extra
details can help!
Inventory Home/Office
Do you presently have a database of all your assets?
Yes No
Which are you interested in? Home Office Both
Would you like to store your information elsewhere other than your house or office?
Yes No
What Day of the week is best for us to do the inventory?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time of Day is best for you?
Morning
Afternoon
Evening
Approximate number of assets you have.
1-50
50-200
200-500
500 or more
What method of video would you prefer? check all that apply.
DVD
VHS
COMPUTER