Needs Assessment

1. Do you work well with assistants?

Yes Not sure No

2. Do you only want to pay for the hours your assistant acutally works?

Yes Not sure No

3. Are you overwhelmed with the amount of tasks you have?

Yes Not sure No

4. Are you comfortable using telecommunications?

Yes Not sure No

5. Are you looking to hire an assistant with experience in administration?

Yes Not sure No

6. Do you want more freedom and flexibility while increasing profits and productivity?

Yes Not sure No

7. Do you want an assistant without paying for taxes, insurance, and other benefits?

Yes Not sure No

8. Have you ever worked with a VA?

Yes Not sure No

9. Are you looking for trained, trustworthy support?

Yes Not sure No

10. Do you feel as though you don't have enough time in your day to accomplish everything?

Yes Not sure No

Your name

E-mail address

HTML Code

<form method="post" action="https://www.flufo.com/VirtualBusinessConcepts/2209/needs-assessment">
  <div style="width: 100%;">    
  <h1 style="color: #376e93;">Needs Assessment </h1>
      <img src="https://www.flufo.com/i/q/16761708.jpg" alt="" border="0" align="right" />   
    <br />        
      <div style="padding: 5px 0;">1.
      <strong>Do you work well with assistants?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17357]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17357]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17357]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">2.
      <strong>Do you only want to pay for the hours your assistant acutally works?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17358]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17358]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17358]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">3.
      <strong>Are you overwhelmed with the amount of tasks you have?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17359]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17359]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17359]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">4.
      <strong>Are you comfortable using telecommunications?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17360]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17360]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17360]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">5.
      <strong>Are you looking to hire an assistant with experience in administration?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17361]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17361]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17361]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">6.
      <strong>Do you want more freedom and flexibility while increasing profits and productivity?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17362]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17362]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17362]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">7.
      <strong>Do you want an assistant without paying for taxes, insurance, and other benefits?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17363]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17363]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17363]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">8.
      <strong>Have you ever worked with a VA?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17364]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17364]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17364]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">9.
      <strong>Are you looking for trained, trustworthy support?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17365]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17365]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17365]" value="C" /> No</label>
      <br />        
      <div style="padding: 5px 0;">10.
      <strong>Do you feel as though you don&#039;t have enough time in your day to accomplish everything?</strong>  
    </div>
                <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17366]" value="A" /> Yes</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17366]" value="B" /> Not sure</label>
                  <label style="display: block; margin: 3px 0;"><input type="radio" name="correctAnswer[17366]" value="C" /> No</label>
      <br />     
      <div><label for="userName">Your name</label>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
      <input type="text" name="userName" id="userName" value="" style="width: 300px;" />     
    </div><br />
    <div>
      <label for="userEmail">E-mail address</label>
      <input type="text" name="userEmail" id="userEmail" value="" style="width: 300px;" />     
    </div><br />
    	<input type="submit" name="submit" value="Ready" /> <span style="margin-left: 200px;">powered by: <a href="http://www.flufo.com" target="_blank">flufo.com</a></span>
  </div>
</form>

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