Installation Survey

Please fill in the following information to support the installation process.

Order Information

Please provide the information related to the order to ensure we can accurately locate it.

Your Name *

Email *

Phone Number *

Contact number for the day of installation

Order No.

Order, Quote or invoice number if known.

Is the name on the order the person to contact on the installation day? *

Please advise who the installation contact will be:

Install Name *

Install Phone Number *

Installation Postcode *

Postcode of the Installation address

Building Information

Hours Available For Installation *

Installation Building Type *

Residential
Commercial

New Construction or Existing *

New
Existing

Is this a ground floor delivery? *

How Many Floors? *

How Many Stairs? *

Elevator Required For Delivery? *

Elevator Width (m) *

Elevator Length (m) *

Elevator Depth (m) *

Width of Smallest Stairway? *

Entry Door Width (m) *

Entry Door Height (m) *

Lowest Gym Floor Ceiling Height (m) *

Main Access Doors To Gym Distance (m) *

Vehicle Access

This information helps us ensure the vehicle on the day is suitable for the delivery location.

Can the site accommodate and park a delivery / collection vehicle of the following sizes *

(length up to 45ft, height 13'8")
(length 35ft, height 13’8”)
Luton / Box Van (Length 21ft, height 12’4”)
None

Are there any vehicle access or parking restrictions at the address? *

Parking / Access Restrictions *

How close (in metres) can the vehicle get to the delivery entrance?

Any Additional Information / Comments

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StrengthX - Installation Survey

Hi {{text}},

Thank you for completing the installation survey!

We appreciate your time. One of our colleagues will get back in touch if we have any additional questions.

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Merrithew Spine Corrector

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