*Salutation (Mr/Mrs/Ms/Miss/Dr etc

*Full name

Business Name if applicable

Address

*Nearest Town/City

Postal Code

*e-mail

Telephone Number

QUESTIONS

TICK  ALL THAT APPLIES BELOW

Would you like a laptop or Desktop PC

LAPTOP

DESKTOP PC

Is this your first computer?

Yes

No

Location of computer

My computer will be in a fixed location

I need to be able to take data with me

I use computers for business away from the office/home

I find it difficult to remember passwords

Intended Us

E-mails, internet, word processor

The above plus Business Use such as spreadsheets, databases and accounting

Edit photos, video files

Download music and video

Play computer games

Saving Files/Documents

I tend to save e-mails, letters and other word documents

I save photographs

I save video

I save many different types of files

I use the computer as a personal video recorder (PVR)

Sound

I prefer to work silently

I often play a CD whilst I am working

I play downloaded music files

I watch DVDs on my computer

I play video games

Video

I use mycomputer to view digital photographs

I watch DVDs

I use my computer as a media centre

My computer is also a gaming console

I like to have many widows open at the same time

Floppy Drive wanted?

Yes

No

I want to be able to make my own DVDs

yes

no

I touch type

yes

no

Vision/Display Monitor

I do not need a monitor

I simply want to edit documents and e-mails

I want to be able to open more than one window at a time

I would like a widescreen monitor so that I can watch films

I would like to be able to watch Freeview digital TV

I have low vision problems

(e.g. dyslexic, visually impaired, variofocals)

Printing data

I do not need a printer

I print mostly black and white documents

I print colour documents

I often print photographs

I print many pages at a time

Fax

I want to use my computer as a fax machine

Scanning

I want to be able to scan documentsand pictures into my computer

Main use of computer

Home

Student

Business

I would like a second

I would like a second Hard Disk Drive

I just want a basic computer

I would like a computer which will not be out of date quickly

Software

I would like Microsoft Office based programmes

I only need Microsoft Word and simple spreadsheets

Cost is very important but I need a Microsoft Compatible Word processor

I use the following Operating system software at present

Windows 98

Windows ME

Windows 2000

Windows XP Home

Windows XP Professional;

Windows Media Center

Windows XP/2000 Server

Apple (state type/age)

Linux (state type)

Solaris

I have many programs on my present system that I want to transfer to my new computer

I would like the latest software

Other software

List the programs that you use at present

All our equipment comes with 12 months Anti Virus Software

I run my own website(s)

Broadband ADSL

Present Broadband supplier

I do not use broadband at present

I cannot receive Broadband in my area

Other requirements

Please list

Budget of intended purchase

Less than £400

Between £400-650

Over £650

SPECIAL NEEDS

We are specialist accessibility consultants and can supply everything from large letters on keyboards to eye flicker controlled computers, please contact us with your requirements, many aids are exempt from VAT to registered disabled people.

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