First Name:
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Last Name:
*
E-mail:
*
Phone:
*
Address:
City:
*
State/Province:
*
Zip code:
Country:
What part of your life do you want to apply SocialBundling tools in?
Professional / Business
Non-profit
Personal
What company or organization do you want to use SocialBundling tools in?
Could others in your company or organization benefit from the use of SocialBundling tools?
Yes
No
What goals would you like SocialBundling to help you achieve?
How much time per day/week do you have to spend using the SocialBundling tools to help achieve your goals?
Are you at or near a computer that you can use most of the day?
Yes
No
When you need to be notified about something that requires your action, which method do you prefer?
Phone call
Text message
Email
When you need to communicate information out to one or more people, what method are you more liley to use?
Phone call
Text message
Email
How much do you use a computer?
0 - 1 time per week
2 - 10 times per week
11 - 25 times per week
I live at the computer
How often do you send text messages on your mobile phone?
Never, my phone is not able to send / receive text messages
Fewer than 5 times per day
5 - 25 times per day
26 - 100 times or more per day
Do you have a "Smart" phone (ie. Blackberry, iPhone, Palm, etc)
Yes
No
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