Information
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Document No.
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Project Title
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Client / Site
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Location
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Conducted on
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Prepared by
Survey
Background Information
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Primary Contact
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Phone
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E-Mail
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Facility Contact
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Proposal Due Date
Site Information
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Parking Accommodations
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Access Hours
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Loading Dock
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Freight Elevator
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Security Issues
Qualifying Questions
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Project Type
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Room Purpose
- Boardroom
- Conference Room
- Classroom
- Training Room
- Operations Center
- VTC Room
- Digital Signage
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Other Discription
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Are Drawing of the Site available from the Client
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Select which drawing will be provided
- Yes
- No
- N/A
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Project Start Date
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Project Due Date
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Other Approvals Needed
Equipment Requirements
Room Number or Name
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Room # or Name
Screen Requirements
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Screen Need
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Add Screens As Needed
Screen
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Projection Type
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Depth Of Projection Room
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Desired Screen Height
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Format
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Ceiling Height In Projection Room
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Photo Of Rear Projection Space
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Floor To Bottom Of Screen Distance
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Mount Type
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Motor Type
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Tab Tensioned
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Screen Surface
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Notes
Projector Requirements
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Projector Needed
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Add Projectors As Needed
Projectors
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Mount Type
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Available Throw Distance
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Interactive Projector
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Whiteboard for Interactive Projector
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Projection Light Obstructions
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Duplicate Projector?
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Owner Furnished
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Notes
Large Format Display Requirements
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Displays Needed
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Add Displays As Needed
Displays
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Mount Type
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Mount Obstructions
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Interactive
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Duplicate Display?
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Owner Furnished
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Notes
SMART Technologies Options
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SMART Technologies Solution
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Denote SMART Technologies Solution needed
- kappIQ
- SPNL-8000
- SPNL-6000
- SPNL-4000
- SBX800
- SBM600
- kapp 42
- kapp 84
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SMART Software
Video Wall Requirements
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Video Wall Needed
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Provide Details of Video Wall
Monitor Requirements
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Monitors Needed
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Add Monitors As Needed
Monitors
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Mount Type
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Interactive
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SMART Podium
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Duplicate Monitor?
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Owner Furnished
Video Sources
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Video Sources Needed
Source
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Source Name
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Input Type
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Wall Plate Input
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Table Top Input
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Rack/Podium/Credenza Input
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Owner Furnished
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Notes
Audio Sources
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Microphones Needed
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Audio Only Sources Needed
Audio Source
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Source Name
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Wall Plate Input
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Table Top Input
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Owner Furnished
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Notes
Speakers
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Ceiling Mounted
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Wall Mounted
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Subwoofer
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Room Combining
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Multizone
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Notes
Control System
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Control System Required
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Type
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Other Description
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Touch Panel
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Touch Panel Type
- Table Top
- Wall Mount
- Wireless
- iPad
- PC/XPanel
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Keypad
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Keypad Type
- Table Top
- Wall Mount
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Notes
Conferencing
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Audio Conferencing
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Notes
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Video Conferencing
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Preferred Manufacture
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Notes
Cabling
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Conduits In Place
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Conduit Size
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Cable Path
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Floor Core
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Notes
Equipment Mounting
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Rack
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Owner Furnished
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Cabinet/Credenza Photo
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Finish, Requirements, and Size
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Cabinet/Credenza
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Owner Furnished
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Cabinet/Credenza Photo
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Finish, Requirements, and Size
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Lectern / Podium
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Owner Furnished
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Lectern Photo
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Finish, Requirements, and Size
Miscellaneous
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Notes
Room Environment
Room Environment
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Height
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Width
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Length
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Room Photos - Include Front, Rear, Ceiling, Furniture Surfaces, Windows, OFE Equipment, Other
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Ceiling Type
- Sheetrock
- Spline
- Wood
- 2' x 2' Lay-In
- 2' x 4' Lay-In
- Other
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Ceiling Photos
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Distance To Structure Above Ceiling
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Wall Types
- Sheetrock
- Concrete
- Brick
- Cinderblock
- Glass
- Half-Glass
- Other
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Potential Interference
- Light Fixtures
- Air Ducts
- Architectural Features
- Sprinkler Heads
- Doors
- White Boards
- Windows
- Alarm Sensors
- Other
Room Layout
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Draw Room Layout - provide as much info as possible
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Supporting Photos
Notes
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Notes