Free 30-Minute Network Assessment Scan

9 out of 10 computer networks have potentially serious IT problems sitting undetected.

Complete the following form to request your FREE 30-minute network assessment scan for an executive view of your network and areas we see that require improvement.

 AutumnTECH IT Assessment Data Sheet (.pdf)

 AutumnTECH Sample Client Risk Report (.pdf)

Client (Company) Name:

Street Address:

City:

State:

Zip Code:

Client Contact Name & Title:

Contact’s Phone Number:

Contact’s Fax Number:

Contact’s Email Address:

What is the nature of your business?

How many employees do you have?

How many employees use computers?

How many workstations do you have?

How many laptops do you have?

How many servers do you have?

Do you have a diagram of your network?
YesNo

What type of work do you do with your computers?
General OfficeFinancialsInventoryEmaileBusinessCAD/CAMDistributionGraphic DesignSales ManagementManufacturingControlOther :

Who takes care of your computers for you?
In-house IT supportOutsourced IT supportPart-time in-house support

What are the computer programs (by name) that are most critical to your daily operation?
Name: Function:
Name: Function:
Name: Function:

Are any of the programs you use custom written?
YesNo
Custom Program Name: Function:
Custom Program Name: Function:
Custom Program Name: Function:

Are there software programs you would like to use but can’t for one reason or another?
YesNo
Software Program Name: Function:
Software Program Name: Function:
Software Program Name: Function:

Will you be adding any new business programs?
YesNo
New Business Program Name: Function:
New Business Program Name: Function:
New Business Program Name: Function:

Do you foresee any change in the number of people that use PC’s over the next few months?
No ChangeAdd (how many)Subtract (how many)
Add How Many? Subtract How Many?

Do you think you will need to add any servers?
YesNo

Is your office connected to any other office sites? How are they connected? (MPLS, VPN, other?)
YesNo
If Yes - Please describe how your offices are connected:

Who is the Internet service provider (ISP)?

Does your company have a website?
YesNo
If Yes, what is your web address:

If you could improve one thing about your IT situation, what would it be?

Additional Comments: