(* Required)
Client Information
Company Name *
Department
Street Address *
City *
State/Province *
ZIP/mailing code *
Country (if outside the U.S.)
If outside the U.S., what is the tax withholding rate/policy?
Is your organization an IIA Audit Group member?
Please Select...
Yes
No
Chief Audit Executive (CAE) Information
CAE name *
Title *
Phone
Fax
E-mail *
Is the CAE an individual member of The IIA?
Please Select...
Yes
No
Contact information
Name of contact (if different from above)
Title
Phone
Fax
E-mail
Internal Audit (IA)
IA location
City *
State/Province *
ZIP/mailing code *
Number of auditors at this location *
Other IA locations and number of auditors at each one. *
Senior executive management location(s) *
Which location(s) will be reviewed (i.e., city/state) *
When was the internal audit department created?
Are workpapers centrally located? *
Yes
No
Are workpapers automated? *
Yes
No
% of audit work that is outsourced or co-sourced
Number of IT auditors/specialists
Average years of audit experience
In what language are workpapers written? *
In what language are reports written? *
Number of reports issued per year *
Types of audits usually performed (i.e., financial, compliance, efficiency and economy, operations/results)
Standards used (IIA, Gagas, etc.) *
Organization Information
Industry *
Should QA team have similar experience? *
Yes
No
Who is requesting that a QA be completed at this time?
What type of proposal would you like to receive? *
Please Select...
Quality Assessment (QA)
Self-assessment w/Indep Validation (SAIV)
Both QA and SAIV
Consultancy
Time frame to perform QA
Month *
Please Select...
January
February
March
April
May
June
July
August
September
October
November
December
Year *
Please Select...
2007
2008
2009
2010
2011
2012
2013
Holidays or time periods we should try to avoid scheduling on-site days
Are you a current Global Access Information Network (GAIN) member? *
Yes
No
If yes, date of last report (month/year)
Do you have an audit committee or other oversight group? *
Yes
No
Have you undergone a prior QA? *
Yes
No
If Yes, what opinion was received?
Please Select...
Generally Conforms
Partially Conforms
Does Not Conform
How did you hear about our services? *
Please Select...
Internal Auditor magazine
IIA Insight magazine
IIA training
IIA Web site
Return client
IIA member
IA referral
Other
If by referral, by whom? If "Other", please specify.
Please check here to receive information on the QA Volunteer Team Member Program.
Please e-mail an organizational chart of executive management and internal audit department to quality@theiia.org, and state your organization's name in the Subject line.