Data Services Assessment

Please answer a few questions, and an EMBARQ representative will soon contact you to discuss your data needs. With EMBARQ, you pay for only the speeds you need and aren't stuck in a "one-size-fits-all" plan like cable. As the most experienced communications provider in our market, we can provide Internet access speeds up to 1.5 Mbps, 3.0 Mbps or 5.0 Mbps with the reliability you've come to expect from a company with over 100 years of experience.

Business Information

Business Name
Contact Name
Contact Number	(ex. 123-456-7890)
Address
Address (cont.)
City
State
Zip
Email Address
How many employees (users) do you have?
Enter the phone numbers and addresses of any additional locations here (if any):

Existing Service Information

Who is your existing internet service provider?
Do you know you what your Internet speed is?
What speed are you looking for?
Is there a need for a Static IP?
Do you have a primary and secondary DNS?
Approximately how much longer are you under contract with your current provider?
Do you have a need for Wireless Data?
Would you like us to look at your phone service?
How many phone lines do you have or would like to have?
Will you be adding more lines in the future (for new employees or users)?
How many toll-free numbers do you have?

Your Expectations of New Service

When a phone call comes in, what do you envision happening?

What are your main goals in replacing or improving your current communications landscape?

With your permission, may we have a copy of your phone/Internet bills to do a point-by-point comparison?