Digital Payment Infrastructure Assessment Form
Use this form to assess your organization’s digital payment infrastructure, current payment channels, integration readiness, and implementation priorities.
Organization Profile
Organization Name
*
Industry
*
Please Select
Banking
Financial Services
Retail
Healthcare
Technology
Manufacturing
Government
Education
Transportation
Other
Primary Contact Role / Job Title
*
Payment Environment
Current payment channels in use
*
Card payments
Digital wallets
Bank transfers
QR payments
Recurring billing
In-app payments
Other
Primary customer/payment touchpoint
*
Website
Mobile app
In-store/POS
API/Embedded checkout
Invoice/email link
Call center
Other
Infrastructure Assessment
Integration readiness
*
Not Ready
1
2
3
4
5
6
7
8
9
Fully Ready
10
1 is Not Ready, 10 is Fully Ready
Transaction reliability and uptime
*
1
2
3
4
5
Payment infrastructure capability assessment
*
Rows
Not in place
Limited
Developing
Established
Advanced
API integration
1
2
3
4
5
Tokenization
6
7
8
9
10
Fraud tools
11
12
13
14
15
Reconciliation
16
17
18
19
20
Reporting
21
22
23
24
25
Implementation Needs and Priorities
Main integration systems or platforms to connect with
*
Biggest infrastructure challenges or pain points
*
Desired implementation timeline
*
Immediate
1-3 months
3-6 months
Flexible
Top priority for the assessment
*
Faster settlement
Better checkout experience
Fraud reduction
Multi-channel support
Reporting
Submit Assessment
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