Help us get to know you...

Company Name*
Your Name*
Title*
Email*
Phone Number*
Number of Pc’s*
Number of Locations*
When it comes to your IT support, do you rely on One Guy (in-house) or a Team of People (outsourced)?*
- One Guy/in-house
- Team of People/company
- N/A
On a scale from 1 to 10, how would you rate your current provider?*
What would get him/her -or- them to a 10?*
If you could wave a “Magic Wand” and fix any issue right now, what would you improve with your network?
When you are looking for a provider, which is typically more important to you/your company, price or quality of service?*
- Price
- Quality
- N/A
Any additional details you may want to provide:
On a scale from 1 to 10, how would you rate your level of compliance with HIPAA?
FOR MEDICAL ONLY
Are you currently paying for IT services on an as needed basis (hourly) or a flat monthly rate?*
- Hourly
- Flat Rate Monthly
- A little of both
- N/A
Are you under contract currently?
- Yes
- No
- N/A
If yes, when is your contract up with your current provider?
Have you established a budget for this project?*
- Yes
- No
- N/A
If we mutually decide that we are a good fit, what time frame would you be looking to make a change?*
- Next 30 Days
- 3 to 6 Months
- 7 to 9 Months
- Year Plus
- N/A
Any additional details you may want to provide:
Email
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Acts Consulting, Inc.

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July 29th, 2020

June 10th, 2020