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BUDGET QUESTIONNAIRE FOR LOOP SYSTEM INSTALLATION
 
To help us work out an estimated cost for your project, please fill in the questionnaire as much as possible. After that, our Quotation team will contact you shortly to give you the figure. If you have any enquires or problems when filling in the questionnaire, feel free to contact us on 01458-272121, or email us: quotes@gordonmorris.co.uk
 
1. GENERAL INFORMATION
     
  System type
Type of building system to be installed in?  i.e. Church, Village Hall
What is the room used for? i.e. meeting room, TV lounge, church services, theatre shows
  Building Details...  
  Height of the Room metres
  Width of the Room metres
  Length metres
     
  2. LOOP CABLE INSTALLATION  
Please select one of the options below......
  Loop cable fixed on skirting board or installed above ceiling (maximum height 3m)
  If yes what colour would you prefer? (brown, black or white)
  Loop cable installed in PVC mini trunking around the room (maximum height 3m)
  If yes what colour would you prefer? (white or brown)
  Copper tape (if the floor covering can be lifted)
     
  3. MICROPHONE FACILITIES  
Please select type and quantity of microphones required
  A hand held microphone with a 5-metre lead and microphone socket?
Qty
  A boundary microphone with a 5-metre lead and microphone socket?
Qty
  A boundary microphone fixed to the ceiling?
Qty
  Are any additional microphone sockets required?
Qty
  A hand held radio microphone?
Qty
  A lavalier tie clip radio microphone?
Qty
     
4. ADDITIONAL LOOP ACCESSORIES
Please select one of the options below......
  Do you require any audio visual equipment, i.e. television or CD player, connected to the loop system?
  Do you require a lockable enclosure / cupboard to avoid tampering with the equipment?
     
5. PA SYSTEM (fill in this section only if you require a public address system)
Please select one of the options below......
  Speaker cable installation  
  Please select one of the options below  
     
  Speaker cable surface mounted
  Speaker cable installed in PVC mini trunking
     
  Additional PA equipment  
  CD player
  Twin cassette deck
 
6. FURTHER BUILDING INFORMATION (if known)
 
1 FLOOR INFRASTRUCTURE  
  Is the floor?
  Is the floor raised with access underneath?
  Are there any pipe ducts or cable routes in the floor?
     
2 CEILING INFRASTRUCTURE  
  Is the ceiling?  
  flat
  apexed?
  plastered / concrete
  removable tiles?
  Is there a roof void (loft space)?
     
7. FOR TRAINED SURVEYORS ONLY
     
  Level of background magnetic noise.  
  Note: Please ensure the FSM is switched to the minus -30db scale.Please ensure all lights, fans/air conditioning are on when carrying out this test.
  Switch position A:
  Switch position flat: db
     
9. YOUR CONTACT DETAILS
Title
First name
Surname
Address
Postcode
Telephone
Mobile
Email*
   
SITE DETAILS
Address
Postcode
Contact at site
Telephone
Mobile
Email
   
     
   
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© Gordon Morris Ltd. 2007