Fiber Solutions

Audio Visual Site Survey

Your Name*
First Last
Your Email*
Date
MM slash DD slash YYYY
Client Name
Contact Name
First Last
Contact Phone
Address where work will be performed
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Who, if anyone, will walk the job with technician?
Estimated client budget
Please provide a detailed scope of work to be performed:
Cabling/Fiber distances and/or limitations?
Describe primary function/purpose of the room and client needs:
How will AV system integrate with facility’s IT Network?
Please provide room dimensions
Height Width Length
Describe existing lighting
Describe existing ceiling obstructions (sprinklers, air returns, etc.)
Wall material (drywall, block, etc.) and color
Material Color
Seating capacity of room
Number of presenters and inputs required (include type)
Type of control required
Number of audio sources
Number of video sources
Existing speakers or new?
- Existing
- New
Number of displays (LED TV, Projector, etc.)
Display size (LED TV, Projection Screen) preferred
Preferred display resolution (1080p, 4k, etc.)
Is Wireless presentation required (i.e. AirMedia, Barco, etc.)
- Yes
- No
Power in place?
- Yes
- No
What is the environment?
- Plenum
- Riser
- Outdoor
What type of pathway is there?
- J-hook
- EMT
- PVC
- No existing pathway
- Other
Describe existing infrastructure in detail:
Jacks/Faceplates brand and color
Brand Color
Please describe patch panels/wire management requirements:
Are there existing penetrations or are we bringing/installing them?
- Existing
- We are bringing/installing
New or existing MDF/IDF?
- New
- Existing
Will a lift be required for installation?
- Yes
- No
Please provide any additional relevant details:
Please upload any site photographs or prints.
Drop files here or

Max. file size: 128 MB.

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Height	Width	Length

Material	Color

Brand	Color