Q Tech Referral V1.1

• Job number

• Engineer name/ contact details

• Team Manager/Cover

• Conducted on

  Date

• Prepared by

• Location/Postcode
  Address

Preliminary details

• Property Type

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

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

• Job details Screenshot

  Media

• Current Broadband Provider

  Select Sky Bt Virgin Talk Talk EE Satellite Broadband Other

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

• Please State the Make/Model of the broadband Router in use

• Description Of Issue Encountered

• Are you still on site

  Off

  On

• TM or Covering TM informed of issue

  Off

  On

• Iknow2 consulted

  Off

  On

• Work Carried Out whilst on Site

Equipment/Streaming metrics and Mesh Data

• Please include the streaming metrics and equipment list from the Chrome app (screenshots)

  Media

• Please include the Mesh data from the Chrome app (screenshot)

  Media

Any further information

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

  Media

• 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

• If possible please draw a brief property floor plan

  Drawing

• 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

• 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

• Please Explain to the customer that we may in certain circumstances need to route Cat 5/Ethernet cables between devices either externally or internally to stabilise the connections should a Q tech visit be required. Please give details of anything that may prevent this from happening, health and safety or cable clipping hierarchy issues