ID__________________

Site Assessment Form

Customer______________________Contact________________________phone_______

Username________________Department__________________________phone________

Building_________________Floor________Room#_________Location_____________

PC BRAND_____________Model____________Style___________Kybrd/Mouse________

Monitor Brand___________Model___________Size_________Condition___________

Misc Comments:___________________________________________________________

OSProcessor________________________Physical Ram__________% Avail.________

RAM Sockets (total)_____Number Occupied____Pin Count____SIMM/DIM_________

Prmry Drive Size___________%Free_______Scndry Drive Size_______%Free_____

Comments .re Primary Hrd Drive___________________________________________

Comments .re Secondary Hrd Drive:________________________________________

Floppy Drive(s)______________CD-ROM_______________Tape Drive_____________

Comments .re Tape format and size:_______________________________________

Other Storage Devices:___________________________________________________

Printer____________________Driver_______________Share Name_______________

Video Card & Driver___________________________Display Settings___________

Screen Saver________________Display Theme________________AnimtdMouse_____

Scanner________________________________________Interface_________________

Modem________________________________Style_____________Proxy_____________

Sound & Speakers_________________________________________________________

Misc Comments:___________________________________________________________

Misc Comments:___________________________________________________________

Computer Name__________________Workgroup_______________Prim Logon________

Network Card & Speed___________________________Protocols_________________

Novell Client________Prfrd Srvr_____________Cntxt_______________Frame____

IP Address______________________Mask__________________Gateway____________

Prim DNS__________________Scndry DNS___________________Domain____________

Share Names and Resources________________________________________________

Share Names and Resources________________________________________________

Mapped Drives____________________________________________________________

Mapped Drives____________________________________________________________

Misc Comments:___________________________________________________________

Software Suites and Versions:____________________________________________

FAX Software__________________Web Browser_________________EmaiL__________

SprdSheet______________________WordPrcssr______________DataBase__________

Graphic Applctn_________________________Accntng Applctn__________________

Special Applications_____________________________________________________

Special Applications_____________________________________________________

Misc Comments:___________________________________________________________

User's description of THEIR computer use:________________________________

_________________________________________________________________________

_________________________________________________________________________

User's GOAL for their computer use:______________________________________

_________________________________________________________________________

_________________________________________________________________________

Misc Comments:___________________________________________________________

Tech's Initials_______CollectionDate___________Unit__________ID__________