First Name: Last Name: Email:
Company Name:   Incorporation:
Street Address:    
 
City: State Zip:

Please provide you personal contact information (Optional)
Street Address: Email:
City: State Zip:

  1. What is your companies' sales volume?
  2. What is the employee size of your company?
  3. What best describes the department you work in:
  4. What is your job title?
  5. Are you a decision maker for your department? Yes No I work with a team
  6. If you manage people, how many people do you manage? 
  7. Regarding the desktops your company runs, are you a customer of:
    HP Dell IBM     Other
  8. Regarding your servers, are you a customer of:
    HP Dell IBM     Other
  9. Regarding the office communications software your company runs, are you a customer of:
    MicrosoftCisco     Other
  10. What is the biggest challenge business' in America face? (Choose all that apply)

    Healthcare

    Financing

    Capitalization

    Qualified Employees

    Insurance

    Liability

    Advertising

    Sales

    Environmental

    Technology

    Data Security

    Terrorism

    Infrastructure

    Globalization

    Benefits

    Energy
    Other
    		 
  11. What is the biggest challenge facing your company? (Choose all that apply)

    12. Healthcare

    Financing

    Capitalization

    Qualified Employees

    Insurance

    Liability

    Advertising

    Sales

    Environmental

    Technology

    Data Security

    Terrorism

    Infrastructure

    Globalization

    Benefits

    Energy
    Other
    		 

  12. What type of office do you have?

    Home Based

    Corporate Based
    Other
    		 

    13.  
 
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