Qwest Consultants Program Registration

Step 2: Tell us about your business

1. Which one of the following classifications best describes your individual consulting profession?

-- Architect Engineer Information Technology (IT) Consultant Management Consultant Market Analyst Telecommunications Consultant System Integrator Telecommunications Billing Auditor Value Added Reseller Other

2. Please provide a brief description of your consulting practice.

(500 character limit)

3. How many professional consultants are employed by your firm?

-- 1 2 - 5 6 - 10 11 - 50 51 - 100 > 100

4. What percentage of your end-user clients represents each of the following types of businesses?
(Your answer should total 100%)

Large enterprise (> 1,000 employees)
%

SMB businesses (< 1,000 employees)
%

5. In which of the following vertical markets do you most actively consult?

Most Active:
-- Banking/Financial Services/Insurance Distribution (Retail and/or wholesale) Education Energy/Utilities Federal Government State/Local Government Healthcare Hospitality/Lodging Manufacturing Professional Services Transportation Construction/Real Estate Public Services/Recreation Food/Agriculture Other:   

2^nd Most Active
-- Banking/Financial Services/Insurance Distribution (Retail and/or wholesale) Education Energy/Utilities Federal Government State/Local Government Healthcare Hospitality/Lodging Manufacturing Professional Services Transportation Construction/Real Estate Public Services/Recreation Food/Agriculture Other:   

3^rd Most Active
-- Banking/Financial Services/Insurance Distribution (Retail and/or wholesale) Education Energy/Utilities Federal Government State/Local Government Healthcare Hospitality/Lodging Manufacturing Professional Services Transportation Construction/Real Estate Public Services/Recreation Food/Agriculture Other:   

6. To what degree have you recommended the following types of network solutions to your enterprise or small business clients over the past 12 months?

7. How familiar are you with each of the following categories of Qwest's business network solutions?

8. To what degree have you recommended the following Qwest network solutions to your enterprise or small business clients over the past 12 months?

9. Would you like to have our program manager contact you to discuss Qwest and any specific Qwest services?

Yes No