Customer Name Phone email 1) Square foot area on 1st Floor. Length of project
x width of project for each floor. ( ex. - 20 ft wide x 20 ft long = 400 sq ft ) 1A) Square foot area on 2nd Floor 1B) Square foot area on 3rd Floor * Number of Bedrooms
0 1 2 3 4 * Number of Bathrooms
0 1 2 3 4 .....number of bathroom fan/light combinations you
would like installed
0 1 2 3 .....would you like us to wire for vanity lights?
NO Yes, a bar light mounted
above the mirror Yes, a wall sconce mounted on each side of the mirror .....type of clothes dryer
none gas dryer electric dryer .....choose type of stove (cooktop & oven combination)
none gas electric .....type of wall oven
none gas wall oven (single or double) electric wall oven (single or double) .....cooktop
none gas cooktop electric cooktop .....range hood
none standard combo - microwave range hood .....dishwasher
no yes .....garbage disposal
no yes .....trash compactor
no yes .....would you like DST to install under cabinet lights?
no yes undecided 5) How many closet lights would you like installed?
none 1 2 3 4 5 6) Approx # of recessed lights. These look great in
almost any room. Typically installed in kit - above counters / sink, liv rm - above fireplace mantel, bedroom, bath rm -
above whirlpool tub, hallways...etc
0 1 - 4 5 - 10 11 - 15 16
- 20 21 - 30 undecided on recessed
lights 7) Approx # of ceiling fans. Mostly installed in bed
rms, liv rm, kit, din rm.
0 1 2 3 4 more than 5 undecided on ceiling fans 8) Are you installing a whirlpool tub?
no yes 9) Are you installing an outdoor spa?
no yes 10) Approx # of phone jacks, do not forget rooms such
as kit,bedrooms,office,liv rm, bathroom,bsmt...etc
0 1 2 - 3 4 - 5 6 - 7 11) Approx # of cable tv jacks
0 1 2 - 3 4 - 5 6
- 7 12) Do you want DST to wire your home theater speakers?
no yes 13) Do you want DST to wire for your home computer
network?
no yes 14) Would you like an intercom system?
no yes undecided 15) What type of heating system are you installing?
none required, existing
ok forced hot
water forced
hot air hot
water radiant electric
radiant not
sure 16) Are you installing central air conditioning?
no yes undecided 17) Are you installing a well pump?
no yes 18) Number of garage door openers you are installing
none 1 2 3 4 19) How many exterior double flood lights would you
like installed?
none 1 set 2 sets 3 sets 4 sets 20) How many exterior wall lights would you be providing?
These would be mounted next to each exterior door and garage door.
none 1 2-4 5-8 more than 8 21) Would you Like DST ELECTRIC to install Surge Protection?
NO YES - Only on the Main Electrical
Panel YES - Only on phone, cable tv, and sat lines YES - Both, Main Panel / Phone, Cable, and Sat line Protection
