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Are you involved in setting the direction for your Company's IT Budget or Strategy?

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What is your primary job title? (Select one only)

SENIOR IT MANAGEMENT:

CIO/CTO/CPO

CSO/CISO

IS/IT (VP/Sr.VP/EVP)

Communications/Networking (VP/Sr.VP/EVP)

E-Business/E-Commerce/Internet (VP/Sr.VP/EVP)

Engineering/Systems Development (VP/Sr.VP/EVP)

Architect (VP/Sr.VP/EVP)

Other Technology Services (VP/Sr.VP/EVP)

Line of Business Technology Executive (Chief/Head/Executive Dir/Managing Dir/Director)

CORPORATE MANAGEMENT:

CEO/President/Owner/Partner/COO/General Mgr.

CFO/Treasurer/Controller

VP/Sr.VP/EVP

Corporate Business Management

Other (please specify)

Which of the following best describes your organization's industry or function? (Select one only)

Please select an industry..... -----NON-COMPUTER RELATED INDUSTRIES----- 1. Manufacturing 2. Finance/Banking/Accounting 3. Insurance/Real Estate/Legal 4. Wholesaler/Retailer/Distributor 5. Government: Federal (including Military) 6. Government: State or Local (including Law Enforcement) 7. Transportation/Utilities (Energy, Water, etc.) 8. Education/Non-Profit 09. Healthcare/Medical Services/Pharmaceutical/Bio-Tech 10. Media (Publishing/Broadcast)/Advertising/PR 11. Business Services/Consultant 12. Aerospace/Defense Contractor 13. Mining/Oil/Gas 14. Agriculture/Forestry/Fisheries 15. Construction/Architecture/Engineering -----COMPUTER RELATED INDUSTRIES----- 16. Manufacturing - (Hardware/Software) 17. Wholesaler/Retailer/Distributor 18. Communication Carriers (Telecomm/Data Comm) 19. VAR/VAD/OEM/Systems or Network Integrator 20. Computer or Network Consultant/Data Processing Services 21. Service Provider (ISP/ASP/MSP/BSP/ESP/Web Hosting) 22. E-Commerce/Internet 98. Other (please specify)

If your industry is "Other" please specify:

Which of the following job functions are you involved with? (Check all that apply)

	Executive
	E-Business/E-Commerce/Internet/Intranet
	Business Development/Strategic Planning
	Networking/Telecommunications
	Supply Chain/Business Process Management
	Web Development/Web Management
	Application Development/Programming
	Systems/Network/Applications Management
	Security/Privacy
	Customer Service
	Sales/Marketing
	Financial
	IT Services/Outsourcing/Global Sourcing/Systems Integration/Consulting
	Manufacturing/Production/Operations/Distribution
	Technology Support/Help Desk
	None of the above

What is your primary job function within your specific branch of Government?(Select one only)

Select One Executive/Command/Agency Mgmt Senior IT Mgmt (CIO, CTO, CNO) Senior Security Mgmt (CSO, CISO) IT/Systems/Network Mgmt Administrative/Operations Mgmt Engineering/Technical Mgmt Procurement/Contract/Purchasing Mgmt Telecommunications Mgmt Information Assurance Mgmt Security Operations Mgmt Base/Building/Facility/Port Security Software, Systems & Web Development Computer, Data & Application Security Network, Wireless & Internet Security Infrastructure Protection Law Enforcement/First Responder Program Manager/Project Leader Professional Services/Consulting Personnel/Training/Education Sales & Marketing Other

If your primary job function is "Other" please specify:

Please indicate your branch of government or other type of business at your location.(Select one only)

Select One Air Force Army Navy & Marine Corps Intelligence Agencies (NSA, NRO, DIA, etc.) Other DOD including DISA Office of the President (including OMB) Dept of Agriculture Dept of Commerce/NIST Dept of Education Dept of Energy Army Corps of Engineers Dept of HHS Dept of HUD Dept of Interior Dept of Justice Dept of Labor Dept of State Dept of Transportation FAA Veterans Affairs Dept of Treasury/IRS Dept of Homeland Security GSA Other

If your branch of government is "Other" please specify:

What is your primary job function within your specific branch of Government? (Select one only)

Select One Executive/Command/Agency Mgmt Senior IT Mgmt (CIO, CTO, CNO) Senior Security Mgmt (CSO, CISO) IT/Systems/Network Mgmt Administrative/Operations Mgmt Engineering/Technical Mgmt Procurement/Contract/Purchasing Mgmt Telecommunications Mgmt Information Assurance Mgmt Security Operations Mgmt Base/Building/Facility/Port Security Software, Systems & Web Development Computer, Data & Application Security Network, Wireless & Internet Security Infrastructure Protection Law Enforcement/First Responder Program Manager/Project Leader Professional Services/Consulting Personnel/Training/Education Sales & Marketing Other

If your primary job function is "Other" please specify:

Which best describes your job function? (Select one only)

Select One CIO/CTO CSO VP Information of Security Director Information of Security Manager Information of Security VP of IT/MIS/Network Director of IT/MIS/Network Manager of IT/MIS/Network Chief of Medical Records Director of Medical Records Manager of Medical Records Director Medical Informatics Manager Medical Informatics Director Network/Internet/Intranet/Technical Services Manager Network/Internet/Intranet/Technical Services Director Telecommunications Manager Telecommunications CEO/Chairman/President/Administrator/Board of Healthcare Committee Member COO/Senior VP/Exec VP/Vice President/GM CFO/VP Finance/Controller Practice Manager/Practice Administrator VP of Claims Director of Claims Administrator of Claims Other

If your job function is "Other" please specify:

Which best describes where you work? (Select one only)

Hospital/Multi-Hospital System Payer, Insurer, Managed Care (Health Plan, HMP, PPO, Insurance Company, Third Party Administrator, Related Services) Integrated Delivery Systems Medical Clinic/Group Practice/Ambulatory Care Center Physician Organization (IPA/MSO/PHO/PPMC) Long Term Care Facility/Home Healthcare Ancillary Clinical Service Provider (Laboratory, Imaging Center, Pharmacy) Healthcare Consulting Services (IT/Business Consulting, System Integrator) Healthcare Vendor (IT Products/Services, Pharmaceuticals, Medical Devices, VAR) Government/Military Other (please specify)

How many people are employed in your entire organization including all branches, divisions, and subsidiaries? (Select one only)

Total population in your entire organization 1. Over 40,000 2. 30,001 - 40,000 3. 20,001 - 30,000 4. 10,001 - 20,000 5. 5,001 - 10,000 6. 1,001 - 5,000 7. 501 - 1,000 8. 100-500 9. Less than 100

What are the total annual revenues of your entire organization? (Select one only)

Total annual revenues of entire organization 1. Over $40 Billion 2. $30 Billion to $39.9 Billion 3. $15 Billion to $29.9 Billion 4. $10 Billion to $14.9 Billion 5. $5 Billion to $9.9 Billion 6. $1 to $4.9 Billion 7. $501 to $999 Million 8. $101 to $500 Million 9. $50 to $100 Million 10. Under $50 Million

Please check below all the products and services that you are involved in acquiring either through approval, planning, recommendation or specification.
(Check all that apply)

COMPUTERS Mainframes Midrange Computers Network Servers (File, Web, Database) Desktop Systems Laptop/Notebooks Handheld PC's/PDA's SOFTWARE Mainframe/Midrange Application Software PC/Workstation Software Database Management Software ERP Software Knowledge Management Application Development Software Master Data Management E-Mail/Groupware CRM Software Business Intelligence/Data Mining Enterprise Application Integration Marketing/Sales Automation Storage Software Supply Chain Management Personal Productivity Ajax Operating Systems SOA Software Virtualization Universal Comm.

NETWORKING LAN/WAN Hardware Modems/Multiplexers Bridges/Routers/Gateways/Hubs Network Operating Systems Network Management Systems EDI Wireless LAN/WAN OTHER HARDWARE Printers Data Storage Products INTERNET/INTRANET Web Authoring Tools Search Tools/Engines Electronic Commerce Tools Web Services Video Conferencing/Webcasting

SECURITY Desktop Security Hardware Network Security Hardware Backup/Disaster Recovery Hardware Desktop Security Software Network Security Software Backup/Disaster Recovery Software Encryption Software/Firewalls Identity/Access Management Software SERVICES Consulting Services/Outsourcing: Domestic Consulting Services/Outsourcing: Off-Shore E-Business Consulting Services     NONE of the above

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