Internet Productivity Assessment Please complete the following form to request an Internet Productivity Assessment of your organization. Select type of report Productivity Summary - Free Complete Productivity Report - $ Group Productivity Report - $ Individual Productivity Report - $ Contact Information: Red indicates required field. First Name Last Name Title Company Telephone E-mail Address Street Address City, State, Zip Country Number of Employees with Internet Access Technical Information: Type of proxy server or firewall on your network Netscape Proxy Microsoft Proxy Network Associates Gauntlet (TIS) Check Point Firewall-1 Squid Proxy Server Cisco PIX Firewall Cisco NetCache Axent Raptor Watchguard Other Proxy Server/Firewall Platform Solaris IBM AIX Linux HP Unix Windows NT Other How did you hear about W3Control Internet Productivity Assessments? 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