Site Fixture Installation Survey
Please complete this survey to assess the installation quality and status of site fixtures. Your feedback helps ensure standards and address any issues promptly.
Site Name or Location
*
Date of Installation
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Installer Name
*
First Name
Last Name
Contact Email
example@example.com
Type of Fixtures Installed
*
Lighting Fixtures
Electrical Outlets
Plumbing Fixtures
Safety Equipment
Other
Rate the overall quality of fixture installation
*
1
2
3
4
5
Installation Assessment
*
Rows
Excellent
Good
Average
Poor
Fixture alignment
1
2
3
4
Fixture stability
5
6
7
8
Fixture functionality
9
10
11
12
Cleanliness after installation
13
14
15
16
Were any issues encountered during installation?
*
No issues
Minor issues (resolved on-site)
Major issues (require follow-up)
Please describe any issues or concerns (if applicable)
Upload photos of installed fixtures
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional comments or suggestions
Submit Survey
Should be Empty: