Annual Survey

Organization Info

Organization

Organization Address

Has the organization address changed?

YesNo

Mailing Street Address

City

State

Zip Code

The Primary Contact should be our lead contact with you on HomeKeeper membership, renewal and important communications. Your Primary Contact should be the staff member whose job responsibilities include making final decisions on customization, integration and in-house process related to HomeKeeper.

Please be sure we have up-to-date contact info for your Primary Contact.

Phone

Email

Has the Primary Contact changed?

YesNo

Who is the new Primary Contact?

First Name

Last Name

Phone

Email

The Secondary Contact (if any) should be the person who we can contact if we're not able to get in touch with the Primary Contact, or whose job also may include maintaining, customizing or training on HomeKeeper.

Please be sure we have up-to-date contact info for your Secondary Contact (if any).

Phone

Email

Has the Secondary Contact changed?

YesNo

Who is the new Secondary Contact?

First Name

Last Name

Phone

Email

Who is the Billing Contact?

First Name

Last Name

Phone

Email

How often do you use HomeKeeper?

DailyWeeklyMonthlySporadically

How else is your program using HomeKeeper?

Annual Feedback Survey