Business and Technology Assessment Contact Information Name* First Last Title* Telephone* Ext. Email Address* Business Information Business 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 Overview Who 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? CAPTCHA Name This field is for validation purposes and should be left unchanged.