# E03 Q Tech Referral

• Job number

• Viewing Card Number

• Team Manager / Cover

• Team

• Engineer & Tech Code

• Time arrived on site

  Date
• Location/Postcode
  Address

Preliminary details

• Job details Screenshot

  Media

• Are you still on site

  Yes

  No

• TM or Covering TM informed of issue?

  Yes

  No

• Have you followed the escalation process

  Off

  On

• Description Of Issue Encountered

• iKnow2 Consulted

  Yes

  No

• Current Broadband Provider

  Select Sky Bt Virgin Talk Talk EE Satellite Broadband Other

  • Sky
  • Bt
  • Virgin
  • Talk Talk
  • EE
  • Satellite Broadband
  • Other

• Hub Type

  BT Hub3

  BT Hub4

  BT Hub5

  BT Hub6

  Other

• Other

• Hub Type

  Hub2

  Superhub 2

  Superhub 3

  Other

• Other

• Other

• Property Type

  Select Detached House Semi Detached Terraced Bungalow Flat Flat (communal System)

  • Detached House
  • Semi Detached
  • Terraced
  • Bungalow
  • Flat
  • Flat (communal System)

Equipment/Streaming metrics and Mesh Data

• Please attach a screenshot of your Chrome Device List Page with the Q Silver Expanded

  Media

• Please attach a screenshot of your Chrome Mesh Page

  Media

• Please attach a screenshot of your Chrome Check List Page

  Media

Any further information

• As far as you can tell, Are the Internal Walls Predominantly

  Select Plasterboard Brick Walls Breeze Block Stone Over 50cm thick Unknown

  • Plasterboard
  • Brick Walls
  • Breeze Block
  • Stone
  • Over 50cm thick
  • Unknown

• Internal property layout

  Select Multiple internal load bearring walls Mini boxes distributed over more than 2 floors Large distance between Mini Boxes Mini Box installed in outbuilding Mini Box installed in extension

  • Multiple internal load bearring walls
  • Mini boxes distributed over more than 2 floors
  • Large distance between Mini Boxes
  • Mini Box installed in outbuilding
  • Mini Box installed in extension

• Are there any of the following within the property

  Select Sonos Wii U Wireless thermostats Wireless lighting Apple wireless products Other wireless devices

  • Sonos
  • Wii U
  • Wireless thermostats
  • Wireless lighting
  • Apple wireless products
  • Other wireless devices

• Is there anything else you think would be good for us to know about the property / set up?

• Has the property got any of the following

  Select Ethernet Cables installed Ethernet switches Power Line Adaptors

  • Ethernet Cables installed
  • Ethernet switches
  • Power Line Adaptors

• Has the customer been made aware that we might have to connect equipment with Ethernet cable?

  Yes

  No

• Please attach pictures of discussed Ethernet routes

  Media

• In your opinion what could the issue be?

• If appropriate please include any photos of On Screen Messages encountered

  Media

• Have you filled out all the fields