Access Control Site Survey

Form

In order to quote the right equipment, please fill out this site Customer # _____________________
survey form and fax it to our sales department at 864-286- Name _____________________
4942. Or call 1-800-964-8994 with any questions. (Please
Phone number _____________________
reference ANSI/NFPA101 Life Safety Code when
installing locking products) Email address _____________________

Door swing
How would you describe your current access control needs?
In-Swing
Looking for a new system Out-Swing
Looking to expand current system
Looking to replace current system Existing door hardware
Mortise
Number of doors being controlled? Knob set
Interior Dead bolt
Exterior Exit bar

Number of buildings? Request-to-exit device

Motion sensor
What type of locks are required for each door? Push-button
Electric Strikes Touch sensitive exit bar
Magnetic Locks Mechanical exit bar
Other ______________________________
What reader technology is desired?
Keypad Voltage requirements
Mag Stripe 12VAC
Proximity 12VDC
Proximity/Smart Card 24VAC
Biometric 24VDC

What type of credential will you be using? What are the wiring distances between the controller, lock
Keyfob power, and the doors? ____________________
Magstrip ____________________________________________
Proximity Card ____________________________________________
Smart Card
Card Tag Is a TCP/IP connection required?
Yes
Number of cardholders No
Not sure
Door material
Wood Will this system integrate with CCTV?
Metal Yes
Glass No
Other ______________________________
How long does the system, including locks, need to operate in
Door frame material the event of a power failure? _____________
Wood
Metal What is your buying timeframe for this system?
Glass ASAP
Other ______________________________ Within the next month
Within the next two months
Door type More than two months
Single
Double Are there any emergency exits? How many? ________
Parking gate