Origin Aqua - Pool survey form

Origin Aqua - Project survey form

Please complete this form (5-8 mins) so we can send you an accurate project cost estimate. Once loaded on phone, tablet or PC, the form can be completed with no internet or 4G (if it's not available by your pool), however you will will need internet or 4G when you press the "submit" button or if you wish save your answers for completion later.
I am the end client (pool user)I am employed by the end clientI am a pool builder (construction business)I am pool designer (architect)Other
Enter company name:*
Enter company website: *
Name*

First NameLast Name
Email*
example@example.com
Mobile number*
(+44) - Include international calling code
Country (pool location)
First line of the address (pool location)*
Nearest town / city*
Postcode (pool location)*
Pool owner name (for reference)

First NameLast Name
Approximately when are you looking to get this project completed by ? *

MonthDayYear
Date
- Indoor PoolOutdoor Pool
- Length of pool (m)*
  In meters please. If your pool is an odd shape just provide approx.
- Width of pool (m)*
  In meters please. If your pool is an odd shape just provide approx.
- Average depth of pool (m)*
  In meters please (please take the average for a sloping pool base)
- The calculated pool volume is (m3)
- The calculated pool area is (m2)
- Select the pool cover type: *
- Large format tilesMosaic tilesLiner pool (PVC / EDPM)GRP Composite (one-piece pool)Concrete shell with mosaic tile bandHDPE (one-piece pool)Concrete shell with pool paintMicrocementStainless steel shellOther
- Enter the approx. plant room internal dimensions in meters*
  Length x Width x Height (meters)
- Approx. how far is the plant room from the pool and is there a level change?*
  Closest point (meters) / and level change (if applicable)
- Please enter the plant room door width in meters*
  Length x Width x Height (meters)
- How is the pool heated?*
- Desired pool temp?*
  Degrees centigrade
- Standard skimmer pool (freeboard)Deck level poolInfinity edge poolI don't knowOther
- YesNo
- What is the water source used to fill the pool ? *
  Mains tap water / Borehole
- How is the pool filled / topped up ? *
  Automatic vs manual
- [RETROFIT] The pool is built - I'm looking to upgrade an existing pool water treatment system[NEW BUILD] The pool is not built - I'm looking to specify your water treatment system for a new pool
- Approx. how old is the pool ?*
- How would you rate the condition of the pool ? *
- Who currently maintains the pool filtration system ? *
  This refers to technical maintenance e.g: chemical dosing
- Enter name of existing pool maintenance company
  eg: Pool professionals Ltd
- Who currently cleans the pool ?
  ie: Brushing walls, netting debris and emptying skimmer baskets.
- Leaf nets and wall/floor brushesPolaris pool cleaning systemAutomatic pool robotOther
- How often is the pool cleaned in open season ?
- Approx what do you spend per year in maintenance visits and chemicals ?
- How many skimmers does your pool have ?
  These are letterboxes usually placed along one edge or end of the pool
- How many jets or inlets does your pool have ?
  These are round fittings typically 100 - 300 mm below the water level
- How many bottom drains does your pool have ?
  These are large round fittings on the pool base
- YesNoNot sure
- YesNo
- Is the cover on when the pool when is not being used ?
- Yes it's workingNo it's not operationalI'm not sure
- YesNoI'm not sure
- What temperature do/would you like the pool water at ?
  °C (degrees Celsius)
- YesNoI'm not sure / I can't see one
- Is there 4G mobile signal inside or outside the plant room?
  Please specify Inside / Outside/ signal strength (bars) /Provider eg: EE
- Pool cover (replace or upgrade)Pool liner replacementPool lightsPool fittings (skimmers / jets)Pool tiling / tankingTile band repair / replacementPool shell repair (obvious cracks)Pool heating systemPool surround (coping and paving stones)Pool fittings (skimmers / jets)Other
- Photos / Video:
  
  Please take the following photos / video now and upload them all in one go, at the end of the form.
  
  Pool photos showing:
  1. Swimming pool wide angle (with cover off)
  2. Pool cover
  3. Pool heating appliance
  4. The current means of pool top-up
  Video or individual photos of the current plant room showing:
  1. Plant room entrance door
  2. Existing filtration system wide angle
  3. Pump rating plate
  4. Electrical consumer / fuse unit (in plant room)
  5. Incoming pipework (to / from pool)
- Please take a wide angle photo of the pool with the cover off:
- Please take a photo of the pool heating appliance:
- Please take a photo of the outside of the plant room and entrance door:
- Please take a photo of the plant room drain:
- Please take a photo of the existing pool filtration system (as wide angle as possible)
- Please take a photo of the incoming pipework (usually in the floor or wall)
- Please take a photo of the mains electric consumer unit open, showing the breakers
- Please take a photo of the rating plate on the existing pump
- Upload the pool and plant room photos / videos here:
  
  Photos of the plant room, pool, pool fittings and surrounding area are always useful. If you have pipework plans of the pool, or if there are laminated plans in the plant room these can help us to assess your project.
  Cancelof
- Please upload all your pool plans / drawings here.
  
  Details of the plant room, pool, pool fittings and surrounding area are always useful. If you have pipework plans of the pool, these can also help us to assess your project.
  Cancelof
- YesNo
- Please provide further details of the pool builder:
  Website and contact details.
- YesNo
- Who is installing the filter system for the end client?
- If you wish to install the system yourself, you must become a distribution partner, and be trained up in how to install, commission and maintain Origin Aqua's products. Minimum sales volumes and training fees apply.
  
  Alternatively, for one off, UK projects, we can install the system direct for the client.
  
  Please contact us for further information.
- YesNo
- Please enter the delivery address for the goods:
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- If there is anything else you would like to flag up for discussion please let us know here:
  For example if the pool is an odd shape.
- OA Quotation /Other docs
  
  Cancelof
- YesNo
- Quote value inc vat.
- YesNoBookedTo arrange (pending)
- WonLostUnknownAwaiting quote feedbackDelayed (interested)In NegotiationGone ghost (strike process)Want to visit / speak with customer
- Should be Empty:

Origin Aqua - Project survey form