• Site Survey

  • Technical Contact Information

    Dentek Systems, Inc.
  • Date Completed
     - -
    2 digit month, 2 digit day, 4 digit year
  • ETA for Installation
     - -
    2 digit month, 2 digit day, 4 digit year
  • Format: (000) 000-0000.

  • Client Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Is the Billing Contact the same as the Primary Contact?
  • Format: (000) 000-0000.
  • Is the billing address the same as the physical address?

  • Site Information Executive Summary

  • Extended Contact Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.

  • Business Hours of Operation

  • OPEN - CLOSE
  • LUNCH BREAK

  • Access and Security

  • Format: (000) 000-0000.
  • Security Badge
  • Security Badge Available
  • Security Alarm
  • Key Access
  • Loading Dock?
  • Secure Storage?
  • Is there an elevator?

  • Employee Roster

  • Configurations

  • Internet Configurations
  • WAN Router Configurations
  • Port Types
  • LAN Network Configurations (Switches)
  • Switches
  • Domain and E-mail Configurations
  • Secure
  • Secure
  • E-mail Host

  • Printer and Peripherals

  • Please provide additional information about the printer(s) in your office.
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply

  • You may add up to 10 printers. Once you have added your printers, please proceed to Line of Business and continue to fill out this survey.

  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply
  • Share
  • Connection Type - check all that apply
  • Function(s) - check all that apply

  • Line of Business Software Applications

  • Server Configuration

  • OS Type
  • Server Role(s): Select all that apply
  • Anti-Virus
  • Ethernet Type
  • OS Redundancy
  • Data Redundancy
  • Rack Mount

  • If you only have a single server, you may skip the next 2 pages.

  • Server Configuration (Cont'd)

    If you only have a single server, you may skip this page and the next page and continue with Workstation Configuration.
  • OS Type
  • Server Role(s): Select all that apply
  • Anti-Virus
  • Ethernet Type
  • OS Redundancy
  • Data Redundancy
  • Rack Mount

  • Server Configuration (Cont'd)

  • OS Type
  • Server Role(s): Select all that apply
  • Anti-Virus
  • Ethernet Type
  • OS Redundancy
  • Data Redundancy
  • Rack Mount
  • Do you have more than 3 servers?

  • 1. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 2. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 3. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 4. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 5. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 6. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 7. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 8. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 9. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 10. Workstation Configuration

  • Warranty Date (if applicable)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 11. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 12. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 13. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 14. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 15. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 16. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 17. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 18. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 19. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you need to add another workstation?

  • If you do not have any additional workstations to add, continue through the next pages and STOP at LOB Applications to continue filling out this survey.

  • 20. Workstation Configuration

  • Warranty Date (if known)
     - -
    2 digit month, 2 digit day, 4 digit year
  • Is the PC connected to a UPS (Uninterrupted Power Supply)?
  • Microsoft Office
  • Do you have more than 20 workstations?
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