Testingadmin00092025-07-15T14:01:03-04:00 1. Name * 2. Company Name * 3. Title * 4. Email * 5. Phone Number * 6. Do you currently own a kiosk? * YesNo 7. What is the primary purpose of the kiosk? * 8. What specific problems are you aiming to solve or benefits you wish to achieve with this kiosk software? * 9. Does the functionality of the kiosk include accepting credit card payments? * YesNo 10. Do you currently accept credit card payments? * YesNo 11. Have you ever used or installed any software on an existing kiosk? If so, what kind? * Yes (describe below)No If yes, describe below: 12. Do you use POS software? If so, please indicate what kind below: 13. Do you have any current IT or software developer support? Check all that apply NoneIT SupportSoftware Support 14. Please indicate which peripherals you anticipate needing for your kiosk application: Check all that apply Barcode ReaderRFID ReaderPrinter (80mm)MSR/Chip credit card readerNFC Reader (ApplePay, etc.)CameraMICOther (please describe below) Other peripherals description: 15. What is your target timeline for completing and deploying the kiosk software? * 3-6 months6-12 months12 months or longer 16. Do you have a budget range for this project? Please indicate below: * Leave this field emptyWhat is Solve the math problem shown in the image to continue. Your information will be securely sent to and stored in Google Sheets for the purpose of processing your form submission.