Client Intake Questionnaire
Please answer all questions to the best of your knowledge
Dealership Name
*
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Primary Contact Name
*
First Name
Last Name
Primary Contact Phone Number
*
Please enter a valid phone number.
Primary Contact Email
*
example@example.com
Primary Contact Title
*
What industry do you serve? Please check all that apply
*
Automotive
Trucking
Powersports/Motorcycle
RV
Parts Retail
Marine
Aviation
Other
Franchises- please select all that apply
Acura
Audi
Chrysler
BMW
Fiat
Ford
GM
Honda
Hyundai
Isuzu
Jaguar
Jeep
Kia
Lamborghini
Land Rover
Lexus
Mazda
Mercedes-Benz
Mitsubishi
Nissan
Porsche
Rolls-Bentley
Saab
Subaru
Toyota
Volkswagen
Volvo
Other
Estimated Total Inventory Value
*
Dealer Management Sytem (DMS)
*
AS400
AutoMate
CDK
CDK DASH
CDK Partscan
DealerBuilt
Dealertrack
Infinitnet
KARMAK
Lightspeed
Microsoft
PBS Systems
Procede
Reynolds & Reynolds
TALON
UCS
Tekion
Other
How many stores?
*
What services are you seeking?
*
Physical Inventory
Buy/Sell Inventory
Performance Improvement
Other
Preferred Inventory/Services Date
*
-
Month
-
Day
Year
(Note: If you are a multistore group and/or you wish for your stores to be Inventoried on more than one day or on separate weekends or months please fill out separate intake forms or for extensive lists please attach a table xls, num, doc, or pdf to the next optional question)
12. *OPTIONAL* For multi-store, multi-state, multi-date/months requests please attach your scheduling table here
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Preferred Start Time
Hour Minutes
AM
PM
AM/PM Option
Please provide any other pertinent details about your dealership(s) and organization.
Have you ever performed a Physical Inventory?
*
Yes
No
When was your last physical inventory?
-
Month
-
Day
Year
Date
Please provide details from your last Physical Inventory
Ex- % accuracy, # of write in's, estimated time to completion, any other issues or opportunities
How did you hear about AccuParts?
*
AccuParts.com Website
Social Media
Linked In
Referral
Other
Who referred you?
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