Paperless Comment Card Project Form
Client Name and Contact Information
Client Name:
Contact Name		Phone:
Current address:		Email
City:	State:	ZIP Code:
Accounts Receivable Contact Name		Phone Number

Locations List

Employee List

Copy of Current Survey/Questionnaire

Organization Structure

Paperless Comment Card Project Form
Locations List
Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person
Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person

Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person
Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person
Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person

Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person
Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person
Location Name
Address		Phone
City	State	Zip Code
Unique Location Identifier/Key		Internal Location Name
Location Manager/Lead Person

Employee List
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only
Employee Name
Location	Email Address
Online Access? Yes No	Level Of Viewing Authority (Not applicable unless an employee has online report access) Corporate/All Region________________ Zone_________________ Local Only

Organization Structure

					Home Office
Local Office/Zone		Local Office/Zone		Local Office/Zone			Local Office/Zone		Local Office/Zone		Local Office/Zone