Home
Services
pages
Blog
Facebook
Google
Wiring Questionnaire Form
Please enable JavaScript in your browser to complete this form.
Company Name
*
Address
*
Contact Number
Customers Email
*
Desired Start/Completion Date
How many total wire drop locations?
How many total wires?
How many wires at each drop location?
Estimate of wire length (In Feet):
Do we have a diagram or plans for the suite/building?
Yes
No
If yes, Do the plans include Low voltage?
Yes
No
How tall are the ceilings? (In Feet)
Type of Ceiling (Select all that apply):
Drop Ceiling
Hard Ceiling (Closed)
Warehouse (Open)
Wall Construction (Select all that apply):
Drywall w/ Conduit
Drywall w/o Conduit
Open Framing
Concrete | Brick
Special tools needed (Select all that apply):
24+ Foot Extension Ladder
14+ Foot A-Frame Ladder
Scissor Lift
Hammer Drill
Special access areas that may be available or needed (Select all that apply):
Attic
Crawl Space
Secure Room
Other Tenants Suite
Wire Type (Select all that apply):
Cat6 Plenum
Cat6 Non-Plenum
RG6 – Coax
RG59 – Coax+Power
Speaker Wire
Wire Color:
White
Black
Blue
Other (If chosen, write in notes below)
Types of devices that will be installed / mounted:
Demarc location / Are there multiple demarcs? / Do you know where all the wires terminate?
Who is/will be the service provider?
Is phone & internet modem in same location?
Yes
No
What size patch panel will be needed?
6 Port External Wall Jacks
12 Port Patch Panel
24 Port Patch Panel
48 Port Patch Panel
None
Wire clean-up and suspension method:
Zip-ties
Velcro
J hooks
Bridle rings
Demarc termination choices:
Network Backboard
Network Shelf
Server Cabinet
Server Rack
Will customers building need to be on our insurance?
Yes
No
Additional comments / notes:
Submit
