On Site Installation Questionnaire


1.*Company Name


2.*Address


3.*City, State & Zip


4.*Point of Contact


5.*Phone


6.*email


7.*Hours of Operation


8.Notes


9.Is there an Existing Network?
Yes
No

10.If yes, Is network access ready at the POS station location?
Yes
No
Not Sure

11.What Internet Connection is Available?
T1
Cable
DSL
Wireless
Dial Up
None

12.Who is the Internet Service Provider?


13.Internet Service Provider number


14.Internet Service Provider Technical Support


15.Where is the location for gaining access to the router / switches / active drop?


16.Notes


17.Is there a drop ceiling throughout the facility?
Yes
No
Unsure

18.If Yes, what is the height of the drop ceiling?


19.If No, Which of these ways are available to run cable
Crawl Space
Moldings
Conduit
Carpet
Wall-Mount
Other


20.If Unsure, nn on-site survey of the facility maybe required prior to installation. List any network devices in already in place or any site specific


21.Check the Install Type
Single Station Install
Single Station w. Back office
Multiple Station Install
Multiple Station with Back office

22.What is the distance between the POS stations?


23.Is there a back office POS or a plan to add one in the near future?
Yes
No

24.If Yes, what is the distance from the POS stations to the Back office?


25.What is the distance from the Internet Access Point to the back office?


26.Notes


27.*Are Additional Network Devices or Peripherals going to be installed at this location?
Scale
Prep Printers
DVR
Inventory Scanner
Report Printer
Caller ID
Modem
Other
None


28.Please give a brief description of the location of the hardware & distances between them relative to the POS and back office.


29.Has electrical power at each POS station, and back office been confirmed? If No You MUST have confirmed electrical power installed at each POS station & back office before work can begin.
Yes
No

30.Date of completion of electrical power installation