Site Survey & Needs Analysis Form

• Company Name

• Prepared for

• Location
  Address

• Analysis Conducted On

  Date

• Prepared by

• Date Proposal is Needed

  Date

• Document No.

• Name of Room on outlook if it were to have a calendar (eg. USFW_CONF_TCXX-)

Add Room

Room Profile

• Room Name / Number

• Room Type

  Select Boardroom Training Room Meeting / Conference Room Auditorium Video Conferencing Rooms Lobby / Reception Classroom Executive Office Break Room / Cafateria Fitness Center Digital Signage NOC / JOC Other

  • Boardroom
  • Training Room
  • Meeting / Conference Room
  • Auditorium
  • Video Conferencing Rooms
  • Lobby / Reception
  • Classroom
  • Executive Office
  • Break Room / Cafateria
  • Fitness Center
  • Digital Signage
  • NOC / JOC
  • Other

• Please Describe Room Type

• Is this a new system or upgrade of existing system?

  New system

  Upgrade of existing system

• Is there an existing control system?

  Yes

  No

  Unsure

• Brand of existing control system

  AMX

  Crestron

  Extron

  Other

• Will we be provided with uncomplied source code?

  Yes

  No

  Unsure

• Do we have signal flow diagrams of existing system?

  Yes

  No

  Unsure

• Do we have a BOM of the existing system?

  Yes

  No

  Unsure

• Would you like to create a BOM?

  Yes

  No

  Unsure
Add Component

• Make/Model

• Serial Number

• Please select construction type for this space

  Select New Construction (Slab Up) Renovation Existing Space (No Construction)

  • New Construction (Slab Up)
  • Renovation
  • Existing Space (No Construction)

• Is the project in a multi-story building?

  Yes

  No

  Unsure

• Does the client occupy the space above and below the work space?

  Yes

  No

  Unsure

• Can integration be performed during normal work hours (8-5, M-F)?

  Yes

  No

  Unsure

• Do we have drawings of the existing space

  Yes

  No

  Unsure

• Ceiling Height (ft & In)

SITE SURVEY

Front Wall

• Front Wall construction type

  Select Drywall on metal stud Block with furring strips & drywall Block Temporary / Movable Full glass Partial glass

  • Drywall on metal stud
  • Block with furring strips & drywall
  • Block
  • Temporary / Movable
  • Full glass
  • Partial glass

• Pictures of front wall

  Media

Rear Wall

• Rear Wall construction type

  Select Drywall on metal stud Block with furring strips & drywall Block Temporary / Movable Full glass Partial glass

  • Drywall on metal stud
  • Block with furring strips & drywall
  • Block
  • Temporary / Movable
  • Full glass
  • Partial glass

• Pictures of rear wall

  Media

Left Wall

• Left Wall construction type

  Select Drywall on metal stud Block with furring strips & drywall Block Temporary / Movable Full glass Partial glass

  • Drywall on metal stud
  • Block with furring strips & drywall
  • Block
  • Temporary / Movable
  • Full glass
  • Partial glass

• Pictures of left wall

  Media

Right Wall

• Right Wall construction type

  Select Drywall on metal stud Block with furring strips & drywall Block Temporary / Movable Full glass Partial glass

  • Drywall on metal stud
  • Block with furring strips & drywall
  • Block
  • Temporary / Movable
  • Full glass
  • Partial glass

• Pictures of right wall

  Media

Ceiling

• Finished Ceiling Type

  Select 2x2 Drop Ceiling 2x4 Drop Ceiling 4x4 Drop Ceiling Drywall Ceiling Spline of other unique ceiling type Open to structure

  • 2x2 Drop Ceiling
  • 2x4 Drop Ceiling
  • 4x4 Drop Ceiling
  • Drywall Ceiling
  • Spline of other unique ceiling type
  • Open to structure

• Picture of finished ceiling

  Media

• Structural Ceiling Type

  Poured Slab

  I-Beam

  Bar Joist

  Other

• Distance from Finished ceiling to structure (ft)?

Floor

• Floor Construction

  Select Poured Slab Raised Floor Rolled Carpet Tile

  • Poured Slab
  • Raised Floor
  • Rolled Carpet
  • Tile

• Pictures of floor

  Media

• Is there existing conduit in the floor for AV cabling?

  Yes

  No

  Unsure

• What size is the existing conduit?

• Picture of existing conduit

  Media

Dimensions

• Farthest Viewer from proposed display placement (Ft & In)

• Room Length from proposed display placement (Ft & In)

• Room Width from proposed display placement (Ft & In)

• Have we been provided with construction drawings?

  Yes

  No

  Unsure

• Construction drawings are required for proposal generation to begin

Needs Analysis

Design Drivers

• Ease Of Use (Scale of 1-10)

• Reliability (Scale of 1-10)

• Ability to expand (Scale of 1-10)

• Aesthetics (Scale of 1-10)

Presentation Content

• Primary content to be displayed

  Select PowerPoint Internet Spreadsheets Video Conferencings Technical Drawings Other

  • PowerPoint
  • Internet
  • Spreadsheets
  • Video Conferencings
  • Technical Drawings
  • Other

• Describe the content

• Secondary content to be displayed

  Select PowerPoint Internet Spreadsheets Video Conferencings Technical Drawings Other

  • PowerPoint
  • Internet
  • Spreadsheets
  • Video Conferencings
  • Technical Drawings
  • Other

• Describe the content

• General notes about content

Display Preferences

• Display Preference

  Front Projection

  Rear Projection

  Flat Panel Display

  Flat Panel Array

  Other

Video Sources

• Video Conferencing

• Is Multi-Point capability required?

  Yes

  No

  Unsure

• General notes about video conferencing system

• Who is providing the CODEC?

  AVI-SPL

  Client

• Preferred CODEC Manufacturer

  Select Cisco Lifesize Polycom Radvision Other No Preference

  • Cisco
  • Lifesize
  • Polycom
  • Radvision
  • Other
  • No Preference

• Preferred Model?

• Is content sharing required?

  Yes

  No

  Unsure

• Other Types Of Video Sources

• Notes about other video sources

Audio Systems

• Choose the desired audio quality for this space

  Select High Quality Commercial Grade Standard Quality Commercial Grade Economy Quality Commercial Grade

  • High Quality Commercial Grade
  • Standard Quality Commercial Grade
  • Economy Quality Commercial Grade

• Audio Conferencing?

• VOIP or Analog

  VOIP

  Analog

• Sound Pressure Level of existing space

• Notify the client that the sound pressure level in the room is higher than recommended for quality audio conferencing.

  Client notified

• Would the client like us to include room acoustical treatment in our proposal to resolve the Sound Pressure level?

  Yes

  No

  Unsure

• Notes about Audio Conferencing

• Voice Re-Inforcement

• Microphone Style Preference

  Select Ceiling Mounted Table Mounted Wireless Lavalier Wireless Handheld Lectern Mounted Other

  • Ceiling Mounted
  • Table Mounted
  • Wireless Lavalier
  • Wireless Handheld
  • Lectern Mounted
  • Other

• Location / Notes

• HDMI

• Quantity

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Location / Notes

• Mini Display Port

• Quantity

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Location / Notes

• VGA & Audio

• Quantity

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Location / Notes

• Wireless

• Quantity

• Wireless Technology Preference?

  Yes

  No

  Unsure

• Explain Preference

• Notes about laptop connections

• Dedicated PC

• Quantity

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8

• Wireless Keyboard?

  Yes

  No

  Unsure

• Who is providing the wireless keyboard?

  AVI-SPL

  Client

• Connection Type?

  HDMI

  Display Port

  DVI

  VGA/A

  Unknown

• Location(s)

• Notes about dedicated PC(s)

• BlueRay Player

• Location?

• Notes about BlueRay Player

• Document Camera?

• Location?

• Notes about Document Camera

• Apple TV

• Who is providing the Apple TV

  AVI-SPL

  Client

• Notes about Apple TV

• Cable TV

• Who is providing the TV Tuner?

  AVI-SPL

  Client

• Notes about TV Tuner

• Satellite TV

• Who is providing and installing the satellite dish & receiver?

  AVI-SPL

  Client

• Notes about Satellite TV

• Laptop Connections

• Display Port?

• Quantity

  Select 1 2 3 4 5 6 7 8

  • 1
  • 2
  • 3
  • 4
  • 5
  • 6
  • 7
  • 8