Free Wireless Survey
To have a free wireless survey at your location, please fill in the online form below and submit.

Customer Information Customer Name:   Site Address:   Phone:   Email:   Contact:   Dept:   Mobile:   Fax:

Site Information Total number of sites:   Site number:   Site number of:   Number of buildings at site:   802.11 Compliant?   Yes No Hours of operation:   Approx. sq. footage:   Redundant WLAN:   Yes No

Additional Site Information

Hours Site Survey may be performed:   Total no. users (minimum):   Total no. users (maximum):   Packet size, average maximum:   Terminal type(s):

Ceiling height:   8-10 ft. 10-20 ft.     20-30 ft. 30+ ft. If no will customer provide?   Yes No Racking/Shelving:   Yes No If "Yes" please explain:   Clearance above storage level:   <4 ft. 4-8 ft. 8+ ft. Any hazardous areas?   Yes No If "Yes" please describe:

Additional Site Information

Temperature range inside facility:   Temperature range outside facility (if applicable):   Any freezers?   Yes No Temperature (check all that apply):   30+ 15-30 0-15 -5- -10 <-10 If "Yes" please describe:

Special safety requirements:   Steel Toed Boots Hard Hat Safety Glasses Describe other safety requirements (if applicable):   Other non WLAN RF equipment installed at facility?:   Yes No

Additional Site Information

Any conveyors?   Yes No Available power:   110VAC 220VAC If they fluctuate, please explain:   Does site experience power problems?   Yes No If the site currently experiences power problems, please explain:

Materials stored at site:   Current stock levels:   High Low Average Floor construction:

Additional Site Information

RF Coverage Complete inside:   Selective inside:   Complete outside:   Selective outside:   Using WEP encryption:   Yes No Using rate shifting:   Yes No Desired link speeds:   11 Mb 5.5 Mb 2 Mb 1 Mb Media (Check all that apply): Coax:   Copper:   Fiber:

Site Construction Building:   Ceiling:   Walls:   LAN connectivity (check all that apply) 10 Mbps:   100 Mbps:   Hubs:   Switches:   Routers:   Bridges:   If Copper (check all that apply): Cat 5:   Cat 7:   Gigabit:

Existing Network

If Emulation, describe what type:   If other than above, please explain:   Protocol(s):   Completed By:   Company Position:   Date:

Host environment:   WAN connectivity: