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Job Title
   
Department
   
 
 
 
What is your organization's primary business activity at this location? (Select one only)
 
Manufacturing and Process Industries (non-computer)
 
Online Retailer
 
Internet Service Provider (ISP) or Application Service Provider (ASP)
 
Communications Carrier
 
Aerospace
 
Banking/Finance/Accounting
 
Insurance/Real Estate/Legal
 
Federal Government (including military)
 
State/Local Government
 
Medical/Dental/Healthcare
 
Transportation/Utilities
 
Construction/Architecture/Engineering
 
Data Processing Services
 
Wholesale/Retail/Distribution
 
Education
 
Marketing/Advertising/Entertainment
 
Research/Development Lab
 
Business Services/Consultant
 
Computer Manufacturer (Hardware, software, peripherals)
 
Computer/Network Services/Consultant
 
Computer Related Retailer/Wholesaler/Distributor
 
Other
 
 
 
 
What are your job functions? (Please check ALL that apply)

IT Management
 
Internet/Intranet/Extranet Management/Development/Strategy
 
E-Business Management/Development/Strategy
 
E-Commerce Management/Development/Strategy
 
New Media Management/Strategy
 
Webmaster/Web Development
 
Other E-Business/Internet Management/Development/Strategy
 
IS/MIS/DP
 
Network Systems
 
Data Communications/Telecommunications
 
Software/Applications Development/Programming
 
Systems Engineering/Analysis/Integration/Technical Services
 
Other Information Technology

 
 
Business Management
 
Executive
 
Financial/Accounting
 
Engineering
 
Sales/Marketing
 
Research and Development
 
Other Business Management

 
 
Professionals/Others
 
Computer Related Consultant
 
Training/Education
 
Other Professionals (Legal, Medical, Architect, etc.)

 
 
 
What was your organization's total gross sales volume for last year?
 
< $10,000
 
$10,000 - $24,999
 
$25,000 - $49,999
 
$50,000 - $99,999
 
$100,000 - $199,999
 
$200,000 - $399,999
 
$500,000 - $599,999
 
$600,000 - $999,999
 
$1 million - $2.5 million
 
$2.5 million - $5 million
 
$5 million - $10 million
 
$10 million - $20 million
 
$20 million - $30 million
 
$30 million - $50 million
 
> $50 million
 
Not sure
 
Other
 
 
 
 
How many people are employed in each of the following areas of your business?

Entire company
 
< 10
 
10 - 19
 
20 - 49
 
50 - 99
 
100 - 499
 
500 - 999
 
1,000 - 4,999
 
5,000 - 9,999
 
10,000+
 
 
Within your department
 
< 10
 
10 - 19
 
20 - 49
 
50 - 99
 
100 - 499
 
500 - 999
 
1,000 - 4,999
 
5,000 - 9,999
 
10,000+
 
 
At your location
 
< 10
 
10 - 19
 
20 - 49
 
50 - 99
 
100 - 499
 
500 - 999
 
1,000 - 4,999
 
5,000 - 9,999
 
10,000+
 
 
 
What would you estimate your department's budget to be this year?
 
< $50,000
 
$50,000 - $299,999
 
$300,000 - $999,999
 
$1 million - $4.9 million
 
$5 million - $9.9 million
 
$10 million or more
 
 
 
What is the total value of the products or services that you anticipate to purchase for your firm in the next 12 months?
 
< $1,000
 
$1,000 - $9,999
 
$10,000 - $19,999
 
$20,000 - $29,999
 
$30,000 - $39,999
 
$40,000 - $49,999
 
$50,000 - $99,999
 
$100,000 - $499,999
 
$500,000 - $999,999
 
$1 million or more
 
 
 
What is the primary industry or line of business at this location? That is, what is the principal product or service at this location?
   
 
 
 
Does (Company Name) have more than one location in the United States?
 
Yes
 
No
 
Do not know
 
 
 
If you answered yes, what is the approximate total number of employees (Company Name) has at all the locations in the United States?
 
1 - 49
 
50 - 999
 
1,000 - 4,999
 
5,000 or more
 
Don't know
 
Other
 
 
 
 
What is the total number of permanent employees in your company at this mailing address?
 
1 - 19
 
20 - 49
 
50 - 99
 
100 - 249
 
250 -499
 
500 - 999
 
1,000 - 2,500
 
Over 2,500
 
Don't know
 
 
 
Job Title
   
Department
   
 
 
 
What is your organization's primary business activity at this location? (Select one only)
 
Manufacturing and Process Industries (non-computer)
 
Online Retailer
 
Internet Service Provider (ISP) or Application Service Provider (ASP)
 
Communications Carrier
 
Aerospace
 
Banking/Finance/Accounting
 
Insurance/Real Estate/Legal
 
Federal Government (including military)
 
State/Local Government
 
Medical/Dental/Healthcare
 
Transportation/Utilities
 
Construction/Architecture/Engineering
 
Data Processing Services
 
Wholesale/Retail/Distribution
 
Education
 
Marketing/Advertising/Entertainment
 
Research/Development Lab
 
Business Services/Consultant
 
Computer Manufacturer (Hardware, software, peripherals)
 
Computer/Network Services/Consultant
 
Computer Related Retailer/Wholesaler/Distributor
 
Other
 
 
 
 
What are your job functions? (Please check ALL that apply)

IT Management
 
Internet/Intranet/Extranet Management/Development/Strategy
 
E-Business Management/Development/Strategy
 
E-Commerce Management/Development/Strategy
 
New Media Management/Strategy
 
Webmaster/Web Development
 
Other E-Business/Internet Management/Development/Strategy
 
IS/MIS/DP
 
Network Systems
 
Data Communications/Telecommunications
 
Software/Applications Development/Programming
 
Systems Engineering/Analysis/Integration/Technical Services
 
Other Information Technology

 
 
Business Management
 
Executive
 
Financial/Accounting
 
Engineering
 
Sales/Marketing
 
Research and Development
 
Other Business Management

 
 
Professionals/Others
 
Computer Related Consultant
 
Training/Education
 
Other Professionals (Legal, Medical, Architect, etc.)

 
 
 
In which of the following ways does your company currently conduct electronic business via online services, corporate extranets, intranets, or the public Internet? (Please check ALL that apply)
 
Sell/Purchase Products/Services
 
B2B Exchanges/Auctions
 
Process Orders/Transactions
 
Communicate with Suppliers/Customers
 
Communicate with Employees/Intranet
 
Offer Customer Service/Support
 
None
 
Other
 
 
 
 
What was your organization's total gross sales volume for last year?
 
< $10,000
 
$10,000 - $24,999
 
$25,000 - $49,999
 
$50,000 - $99,999
 
$100,000 - $199,999
 
$200,000 - $399,999
 
$500,000 - $599,999
 
$600,000 - $999,999
 
$1 million - $2.5 million
 
$2.5 million - $5 million
 
$5 million - $10 million
 
$10 million - $20 million
 
$20 million - $30 million
 
$30 million - $50 million
 
> $50 million
 
Not sure
 
Other
 
 
 
 
How many people are employed in each of the following areas of your business?

Entire company
 
< 10
 
10 - 19
 
20 - 49
 
50 - 99
 
100 - 499
 
500 - 999
 
1,000 - 4,999
 
5,000 - 9,999
 
10,000+
 
 
Within your department
 
< 10
 
10 - 19
 
20 - 49
 
50 - 99
 
100 - 499
 
500 - 999
 
1,000 - 4,999
 
5,000 - 9,999
 
10,000+
 
 
At your location
 
< 10
 
10 - 19
 
20 - 49
 
50 - 99
 
100 - 499
 
500 - 999
 
1,000 - 4,999
 
5,000 - 9,999
 
10,000+
 
 
 
What would you estimate your department's budget to be this year?
 
< $50,000
 
$50,000 - $299,999
 
$300,000 - $999,999
 
$1 million - $4.9 million
 
$5 million - $9.9 million
 
$10 million or more
 
 
 
What is the total value of the products or services that you anticipate to purchase for your firm in the next 12 months?
 
< $1,000
 
$1,000 - $9,999
 
$10,000 - $19,999
 
$20,000 - $29,999
 
$30,000 - $39,999
 
$40,000 - $49,999
 
$50,000 - $99,999
 
$100,000 - $499,999
 
$500,000 - $999,999
 
$1 million or more
 
 
 
What was the total value of the products or services you were involved in purchasing for your firm in the last 12 months?
 
< $1,000
 
$1,000 - $9,999
 
$10,000 - $19,999
 
$20,000 - $29,999
 
$30,000 - $39,999
 
$40,000 - $49,999
 
$50,000 - $99,999
 
$100,000 - $499,999
 
$500,000 - $999,999
 
$1 million or more
 
 
 
Job Title
   
Department
   
 
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