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Home AV Distribution Questionnaire

AV DISTRIBUTION QUESTIONNAIRE

from Evolution

Click here to download an interactive PDF of this form.

Contact Information

Personal Information

Contact name:(Required)

First Last

Title/position:

Email:(Required)

Phone:

Company Information

Business name:(Required)

Business type:(Required)

Distributor

Dealer/Integrator

Address:(Required)

Address line 1 Address line 2 City State Zip

Verticals You Serve (check all that apply):(Required)

Commercial

Residential

Corporate

Entertainment

Government

Hospitality

Education

Retail

House of Worship

Transportation

Apartments

Other

Verticals you serve (other)(Required)

Video Questions

System Information

How many displays are needed:

How many sources are needed:

What type of contol is needed:

Will displays share the same resolution:

Yes

No

How will the system be controlled:

Where will the equipment be located:

How far apart are the sources and display:

Cabling being used:

System Feature(s)(Required)

4k resolution

Video Wall

Multi-view

Switching

Digital signage

KVM

Other

Intended Use(s)(Required)

Home theater

Sports

Residential

Gaming

Security

Commercial

Other

System feature (other):

Intended use (other):(Required)

Audio Questions

Environment and Noise

Area name/description:(Required)

Ambient noise level db:

Will there be large change in ambient nose level

Yes

No

If yes, note range:

Type of Space(Required)

Residential

Office

Hospitality

Retail store

Factory/industrial

Education

Other

Location of Space(Required)

Bedroom

Home theater

Living room

Warehouse

Hallway

Auditorium

Other

Other (type of space):(Required)

Other (location of space):(Required)

Size of Space Area dimensions

Length

Width

Square Feet

Ceiling height

Feet

Inches

Zones and Equipment

How many zones are needed:

How many AUX Inputs are needed:

How many MIC inputs are needed:

Where will the speakers be placed?

Inside

Outside

Both

How can the speakers be mounted?

Suspended/drop ceiling

Walls

Beams/columns

Other

Other (speaker mounts):

System requirements

Paging system:

Yes

No

Fire protection:

Yes

No

Tile bridges:

Yes

No

Volume controls:

Yes

No

Other system requirements

Recommended amplifier:

BAV2500

BAV4250

BA251

BA2101

A120

PAV140

PA230BWA

PA230SWA

Other

A220

PAV1100

Other (recommend amplifier):

System Design

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Vanco

AV Distribution
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Evolution

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Video Wall/Multi-View
Accessories

Beale Street Audio

Speakers
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Outdoor
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PulseAudio

Amplifiers
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Preferred Partners

Monster
Procell