Computer Data Back-up or Transfer Service – Intake

Full Name

Phone Number

Used for appointment confirmation and technician updates.

Best Email for Updates

Preferred Service Type

Onsite (Home / Office)

Drop-off

Remote Support (when applicable)

Choose how you would prefer to receive service.

Service Address (for onsite)

Only required for onsite service.

City & State (optional)

ZIP Code

Allows us to verify service availability in your area.

Source Device Type

Operating System

Source Device Brand / Model (optional)

What Service Do You Need?

Back up data from this computer/device

Transfer data to a new computer

Transfer data to an external drive

Move data between two computers

Restore data from an existing backup

Set up an ongoing backup solution

Not sure / Need recommendation

What Data Should Be Included?

Estimated Amount of Data

Current Condition of the Source Device

Working normally

Working but slow / unstable

Will not boot into the operating system

Will not power on

Drive has errors / clicking / unusual behavior

Not Sure

Do You Already Have the Destination Device or Storage?

Yes — new computer

Yes — external hard drive / SSD

Yes — USB drive

Yes — cloud storage account

No — I need a recommendation

Not applicable / Backup only

Destination Device / Storage Details (optional)

Data Backup / Transfer Details

Special Requirements (optional)

Preserve original folder structure

Transfer browser bookmarks / favorites

Transfer user profile files

Verify files after transfer

Securely erase old device after successful transfer

Need help choosing backup storage

Other

Preferred Date of Service

Preferred Time Window

Is This Request Urgent?

Yes, as soon as possible

No, flexible

Just getting a quote

Notes for Technician (optional)

Acknowledgment & Consent

I understand that data backup or transfer results depend on the condition and accessibility of the source device or storage media, and that final pricing may depend on the amount of data and work required.