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Network Build Discovery Questionnaire
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Name
*
First
Last
Business Name
Address
Address Line 1
Address Line 2
City
--- Select state ---
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone
Email
*
Number of Locations
1
2-5
5+
Number of Wired PC Clients
Selected Value:
1
Number of Wireless Clients
Selected Value:
0
Existing Structured Cabling
Yes
No
Number of Network Drops
Selected Value:
0
Server/Network Closet Required
Yes
No
Internet Connection Type
Fiber
Cable
DSL
Other
Other/Describe/Carrier
VPN/Remote Access Required
Yes
No
Existing Domain Server
Yes
No
Planning to Add
Number of Servers
Selected Value:
0
Number of Printers
Selected Value:
0
Printers Brands and Models
Printer Type
Ink
Toner/Laser
Both
Printers Application Email
Business Critical Applications
Microsoft 365
Google Workspace
QuickBooks
CRM
POS
Industry-Specific
CRM
POS
Industry-Specific
Applications Requiring On-Premise Servers
Yes
No
Number of Servers
Selected Value:
0
Application Names
Cloud Services in Use
Security/Anti-Virus Software
Enterprise Firewall Protection
Yes
No
Data Backup Services
On-site
Cloud
Both
Not at this time
Anticipated Growth in 12-24 Months
Yes
No
Unique Needs / Special Requirements
Preferred Project Timeline
Budget Range
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