Virtual Appointment

Your Name *

Best phone number to reach you: *

Best email to reach you: *

How soon would you like to schedule your appointment? *
Not sure yetAs soon as possible!This weekNext weekNext month

Which day of the week do you prefer? *
Not sure yetMondayTuesdayWednesdayThursdayFriday

What time of day do you prefer? *
Not sure yetMorningAfternoon

Please check the box that best describes your computer: *
Not sure or not listedWindows 10Windows 7 or 8MaciPad

Do you have a webcam/camera installed on your computer? *
—Please choose an option—YesNoNot sure

Is the computer you plan to use for the meeting already connected to the Internet? *
—Please choose an option—YesNoNot sure