Title Page
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Customer:
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Project Name
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Site Address
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Conducted on
Site Conditions
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What level of construction is required for this site?
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Is there a general contractor or electrical contractor involved?
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Provide additional information:
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On what floor is the room located?
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What are the room dimensions?
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What is the ceiling height?
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What is the ceiling type?
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If other, please specify type.
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Are there any wall or ceiling obstructions?
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Please provide details and pictures of obstructions.
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Are floor boxes, poke throughs, or over floor raceway required?
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- Existing Floor Box
- New Floor Box
- Existing Poke Through
- New Poke Through
- Over Floor Raceway
- Other
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Please provide further information and picture.
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Video Systems
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Does this space require video equipment?
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Is any owner-furnished video equipment being reused in the new system?
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Please detail the owner-furnished equipment that will be reused. Add pictures of makes, models numbers, and other detailed information.
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Video sources required for space?
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Select the required video sources:
- Table Input
- Wall Plate Input
- Owner-furnished PC
- Blu-Ray Player
- Owner-furnished Tuner
- Document Camera
- PTZ Camera (Not for VTC)
- Wireless Presentation Device
- Other (specify)
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Special requirements for video sources (if any):
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Display devices required for space?
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Select the required display devices:
- Display
- Dual Display
- Projector
- Video Wall
- Other
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Special requirements for display devices (if any):
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What screen type?
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Provide any special projection screen details.
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Are there any other video system considerations (recording, streaming, etc.)?
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Please provide further information about additional video system requirements.
Audio Systems
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Does this space require audio equipment?
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Is any owner-furnished audio equipment be reused in the new system?
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Please detail the owner-furnished equipment that will be reused. Add pictures of makes, models numbers, and other detailed information.
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Audio sources required for space?
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Select the required audio sources:
- Wired Microphone
- Wireless Microphone
- Ceiling Microphone
- CD Player
- Background Music
- Other (specify)
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Special requirements for audio sources (if any):
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Are loudspeakers required for this space?
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What type of speakers are required?
- Ceiling Speakers
- Pendant Speakers
- Surface Mount Speakers
- In-Wall Speakers
- Other
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Special requirements for loudspeakers (if any):
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Are there any additional audio system considerations (live mixing, recording, etc.)?
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Please provide further information about additional audio system requirements.
Video Conferencing
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Is videoconferencing equipment required for this space?
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Is any owner-furnished videoconferencing equipment be reused in the new system?
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Please detail the owner-furnished equipment that will be reused. Add pictures of makes, models numbers, and other detailed information.
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What kind of videoconferencing system is required?
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How many cameras are required?
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How will the cameras be mounted?
- Below Display
- Beside Display
- Back Wall
- Ceiling
- Other
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Please provide further information about additional videoconferencing system requirements.
Control Systems
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Is control system equipment required for this space?
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Is any owner-furnished control equipment being reused in the new system?
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Please detail the owner-furnished equipment that will be reused. Add pictures of makes, models numbers, and other detailed information.
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User Interface required for space?
- Touch Panel - Wall
- Touch Panel - Tabel
- Keypad - Wall
- Wireless Touch Panel
- X-Panel
- iPad
- Other
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Special requirements for user interface (if any):
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Are there any unique control requirements (shades, lighting, etc.)?
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Please provide further information about additional control system requirements.
Furniture, Racks, & Other
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How is furniture arranged in the room?
- Large Table
- Training Configuration
- Movable/Modular
- Table Against Wall
- Other
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Please provide further information about furniture requirements or configuration.
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Is an equipment rack required for this system?
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Where will the equipment reside?
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Where will the rack be located?
- Credenza
- In IDF (Not Adjacent to Room)
- In Closet Adjacent to Room
- Standalone In Room
- Other
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Please provide further information about rack requirements or location.
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