Office Assessment Form Customer DataCompany Name: *WebsiteFirst Name *Last Name *Street Address *Apartment, suite, etcCityProvincePostal CodeEmail Address *Phone *Additional Notes:AssessmentNumber Of ComputersSelect123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100BrandSelectMicrosoftmacOSOtherNumber Of ServersSelect12345678910NAS / BackupSelectYesNoUnknownData Backup / NASOn-SiteOff-SiteWork Station / Server / NAS NotesNumber Of PrintersSelect12345678910Printer BrandsXeroxSharpBrotherEpsonCanonLexmarkHPDymoOtherPrinter Notes:Number Of PhonesSelect123456789101112131415161718192021222324252627282930Phone TypeVoice Over IPAnalogPhone Notes:Network NotesNotes & Follow-up QuestionsDate *Assessment TechnicianSelectAlan RegnierUpload fileChoose FileNo file chosenDelete uploaded file Submit