NUG Help Matrix 2008 Survey

NUG Help Matrix 2008

1. NUG Help Matrix

This Help Matrix is designed to include general agency demographic data as well as hardware and software profiles. This online registry database will allow NUG members to locate a lifeline in the sea of ever-changing technology.

Any information you provide will only be accessible by NUG members. If you are willing to help us help you, our members, please consider completing this survey.

1. Please complete the following demographic information - all fields in this grouping are required:

Please complete the following demographic information - all fields in this grouping are required: Your Name:
Your Title:
Email Address:
Netsmart Customer ID#:
Agency Name:
Agency Address Line 1:
Agency Address City:
Agency Address State:
Agency Address Zip:
Agency Phone:
Agency Fax: