Lighting System Analysis
Existing Lighting Type: (please check all that apply)
Florescent T8
Florescent T12
LED
Please Note Any Special Considerations:
Is A New Lighting Layout Requested:
Yes
No
What are the dimensions of the room:
Please list as W x L x Ceiling Height
Please Note All Requests:
Retrofit of existing fixtures:
Yes
No
Type of Existing Fixtures:
Please Note Any Special Considerations or Requests:
Upgrade existing fixtures:
Yes
No
How Many Rooms:
How Many Fixtures Per Room:
Please Note Any Special Considerations or Requests:
Would You Like Replace The Old Fixtures
Yes
No
What Is The Current Fixture Count:
List each room and the number of fixtures above.
Please Note Any Special Considerations or Requests:
What Lighting Output Do You Need:
Foot-Candles
Lumen
Current Output:
Output Requested:
Color of Existing Lamps (Kelvin Rating):
Voltage (if varied please note what type in notes below):
120v
208v
240v
277v
480v
Please Note Any Special Considerations or Requests:
Are There Existing Lighting Controls or Sensors:
Yes
No
Not Sure
What Type:
Are New Lighting Controls Requested:
Yes
No
Not Sure
What Type:
Are Motion Sensors Requested:
Yes
No
Not Sure
What Type:
Please Note Any Special Considerations or Requests:
Is There a Power Pole On Site:
Yes
No
Not Sure
Height of Pole:
Please include height measurement.
Color of Pole:
Style of Pole:
Square
Round
Take Photo:
Submit
Should be Empty: