INTERNAL Initial Needs Assessment Form

1
What best describes the structure you are trying to build?* This field is required.We need to know this so we can pick the right block system for your needs.
Retaining Wall
Fence
Bulk Materials Storage
Barrier
Counterweights/ Bollard Hoardings
Other structure
2
What is the max height of the block structure?* This field is required.
3
How many walls are you looking to build?* This field is required.Enter as a single number, i.e. 10.
4
What is the length and/or width of the block structure?* This field is required.Use a comma to separate the length from the width. i.e. if they are after a bin 10m long and 3m wide, enter is as 10, 3.
5
Do you know the surcharge the wall needs to withstand?* This field is required.This relates to the pressure being exerted on the wall. Where there is a driveway or other structure behind the top of the wall the surcharge will be 12.5kpa in Auckland, and between 5- 12.5kpa outside Auckland. If there is nothing behind the top of the wall it is likely to be 0kpa.
Please Select
Don't know
0kPa
2.5kPa
5kPa
12kPa
6
What are you wanting to store in the bins?* This field is required.This question is important as it influences what pressure the wall needs to withstand, and as a result what reinforcing options we need to allow for
Aggregate
Fertiliser
Glass Cullet
Landscape Supplies
PKE and/or Feed
Scrap Metal
Other
7
How many bins are you looking to build?* This field is required.Enter as a single number, i.e. 10.
8
Will you be placing the blocks on a concrete foundation?* This field is required.
YESNO
9
What, if any, equipment will be operating in or near the structure?* This field is required.Equipment pushing against the wall can exert quite a bit of pressure on the wall so its important we take this into account during the initial quote process.
10
What weight do you require?* This field is required.This is the weight per block, in kgs. I.e. what weight block do you require?
11
How many do you require?* This field is required.This is the total amount of blocks required.
12
Do you require an engineered design?* This field is required.Engineered designs typically cost $3000-5000 and often required for building consents or for health and safety reasons.
YESNO
13
Do you have any technical reports for the site?* This field is required.This may include geotech reports on the ground conditions, or structural designs for other structures on site. If they answer yes, the sales person will request the documents in the future.
YESNO
14
What is the delivery address?* This field is required.We need to know this in order to quote a freight price.
15
How would you describe site access?* This field is required.
Clear and easy accessObstructions or steep gradients
16
Do you have equipment to unload the truck?* This field is required.The best equipment for unloading the truck is a forklift or front end loader with forks capable of lifting up to 1.8t. Excavators and cranes are also acceptable, but may cause longer unload times and therefore added cost. If you do not have equipment, the we may need need to quote for a hiab delivery.
YESNO
17
Do you prefer to hire or purchase the blocks?* This field is required.Hiring of blocks is predominantly available for counterweights, however we will also look at its use for Interbloc projects. As a general rule if the hire period is longer then 3 months, its likely going to be cheaper for them to purchase the blocks.
Hire
Purchase
Interested in Both
Don't Know
18
If you were going to go ahead with this, when would you require the blocks?* This field is required.
Under One Month
1-3 Months
3+ Months
Unsure
19
Please enter any other details or notes
Huge
Large
Normal
Small
Ok
Ok
20
Email* This field is required.
example@example.com
21
Name* This field is required.
First Name
Last Name
22
What is the best phone number to contact you on?* This field is required.
Area Code
Phone Number
Should be Empty: