Questionnaire for Lighting Scheme

Please fill in the form below

Room Dimensions
Height
Width
Length
If you require you can sketch the room and fax
Colours of the room
Wall
Floor
Ceiling
Please note this is important for reflectance and the overall scheme
Usage of the room/s


Hours of use
Hours per day
Days per week
Weeks per year
This is required for the lamp life and maintenance of the project
Emergency Lighting Requirements
Do you require Emergency Lighting with your scheme? Yes No

If you require Emergency Lighting do you want?
Stand alone Integral

Special requirements
(Control PIR detection etc) Yes No

Please specify


Contact Information
Name
Street
Town
City
Postcode
Telephone
Fax
Email
Project Reference
If you require our Lighting Engineer to visit your site it can be arranged free of charge