Oxford Ceiling Track Pre-Survey Questionnaire

Ceiling Track Pre-Survey Questionnaire

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Contact Name*

First NameLast Name
Company Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Address*

First line of address

Street Address Line 2

CityState / Province

Postal Code
What type of building needs the ceiling track solution?*

Detached houseSemi Detached houseBungalowFlatOther
Which room(s) need track installing?*

BedroomToiletBathroomLoungePlay AreaPoolJacuzziOther
What floor is the hoist for?*

GroundFirst FloorOther
Is there easy access to the loft or ceiling?*

YesNoDon't know
Is there a room above?*

YesNoUnknown
What type of track is needed?*

Single TrackH system or XY TrackMultipleUnsure?
What type of transfers do you need the hoist for?
e.g. Bed to wheelchair, wheelchair to bed.
Are there any technical drawings?*

YesNo
Please upload any supporting documents

These will be of great help :)
Cancelof
Do you know of any structural issues with installing a hoist?*

YesNoDon't Know
If Yes, please explain
Is there easy parking near the building for the surveyor?*

YesNo
Is there a complete by date?

DayMonthYear
Is there a deadline?
How will the project be funded?*

PrivateCharityGovernment Grant
Please verify that you are human*
Should be Empty: