Business Feedback/Inquiry Form


To help us provide you with a better service, please fill out the following feedback/inquiry form. Please note that the information supplied here will be kept confidential and used strictly by Focusmm.com only, either to improve our performance or to contact you if you wish us to do so. We welcome all business inquiries in our pages. Please indicate clearly in this form, which way we can help you best.


1. Name: 2. Company: 3. Address: 4. Country: 5. Zip/Postal Code: 6. Phone: 7. Fax: 8. E-mail:

9. Which of the following best describes your title?

10. What is your industry?

11. How many workers does your company employ?
1-49 50-99 100-149 150-199 200-249 250-499 500-999 1000+

12. If you are in the field of tourism, which of the following ones describe your business ?
Check all that apply.
Travel Agent
Car Rental
5 Star Hotel 4 Star Hotel 3 Star Hotel 2 Star Hotel 1 Star Hotel
1.Grade Holiday Village 2.Grade Holiday Village
Motel Camping Site Apart Hotel Pension
Yacht Chartering
Daily Tours/Tour Guiding
Disco

13. If you are in the field of food/beverages, which of the following ones describe your business ?
Check all that apply.
Restaurant
Tavern
Night Club
Packaged Food Manufacturer
Soft Drink Manufacturer
Alcoholic Beverage Manufacturer

14. Which of the following best describes your primary job function?

15. If there is a computer in your workplace, which of the following ones describe it ?
Check all that apply.
IBM Compatible Macintosh Other Computer
VGA Display SVGA Display +SVGA Display
4MB RAM 8MB RAM 8MB+ RAM
Sound Card
CD-ROM Driver
MSDOS
WINDOWS 3.1 or above
OTHER DOS

16. Does your company have an access to Internet?
Yes No

17. If your company is connected to the Internet, do you use Netcape browser?
Yes No

18. Would you consider to advertise your company on Focusmm.com Web pages?
Yes No

19. Which of the following subjects do you wish us to contact you in the near future ?
Advertisement on Focus pages
Artwork/Graphic Design
Animation
Electronic Design
Please fill out the following box for your further comments and questions !

We would like to thank you for your cooperation to complete this questionary.


Copyright © 2005 Focusmm.com All Rights Reserved.