Business and Technology Assessment Contact InformationName* First Last Title* Telephone*Ext. Email Address* Business InformationBusiness Name* Address* City* State* Zip* Phone* Established* Years in business?* Number of locations?* Number of employees? (Per location)* Number of PCs? (Per location)* What line of work is the company involved in (e.g. general contractor, retail)?* Business - Infrastructure OverviewWho are your clients? (e.g. schools, hospitals)* What are your key business goals for the next 12 months?*Where would you like to see your business in 3 to 5 years? What obstacles have to be overcome to achieve those goals?*Do you have a network?* Do you have server? What does a network do for your business today?*Do you have a business class firewall?* Who is responsible for technology support within your organization?* Do you have an internal IT department or do you out source your IT Support?* Are there any upcoming changes that will increase the dependence on IT?* What Regulatory or Compliance Issues do you face relating to your industry?* How often do you upgrade or replace your hardware?* Do you have an annual IT budget?* Who makes the final purchasing decision?* What are the three largest pain points in your business?1: 2: 3: How do you communicate with remote workers or prospects?* How do you access your emails from the outside?* Does your server host your email? Yes No If no, Where is your email hosted? How many employees need mobility?* Have you considered how you would deal with a disaster?* Do you have off-site backup? Yes No If yes, who’s the provider? How much data is being backed up offsite?* Do you have a Disaster Recovery Plan in place? * I agree to the Terms of Service and the Privacy Policy. Remark: We will collect your information for marketing purposes. However, we respect your privacy rights. If you wish to access or amend any Personal Data we hold about you, or request that we delete any information about you that we have collected, please send us an email: unsubscribe@domitek.netCAPTCHAPhoneThis field is for validation purposes and should be left unchanged. Δ