How many persons in your practice? (including full-time, part-time & contract workers) * 1 2-5 6-24 24-99 100+ Do you have an in house assistant? * Yes No Do you use the internet? * Yes No Do you dictate? * Yes No Does your company have a website or blog? * Yes No If yes, what is the website URL(s)? Do you use a mobile device? * Yes No Mobile Service Provider: Mobile Make/Model: Does your company have an IT department or tech? * Yes No On a scale of 1-10 (with 10 being “geek”), how would your rate your technology comfort level? * 1 2 3 4 5 6 7 8 9 10 Is your primary e-mail: * Public: @Yahoo/MSN/AOL/Gmail Private: @yourcompanydomain.com Other Email Provider (if other): What does your company use to manage e-mail? * Outlook Google Apps Public: @Yahoo/MSN/AOL/Gmail Other Email Manager (if other): What does your company use to manage/store documents? Document Management Software Private On Line Storage Public: Yahoo/MSN/AOL/Gmail Other Document Management Software Used: Private On Line Storage Used: Public/Free Software (Yahoo, Gmail, MSN, AOL etc): Other Software Used: What does your company use for word processing? * Word Word Perfect Other Word Processing Software (if other): You need assistance primarily with: * Documents Calls E-mails Calendar Website Other You need assistance with (if other): Any other information you feel is relevant: Name: * Telephone: * Email: *