Acoustical Design Data Form

Name:

Company Name:

Address:


Telephone:

Email:

Project Location:


Type of work area to be treated (pick all applicable):

Private Offices
Conference room / meeting enclaves
Open plan - management
Open plan - administrative
Open plan - research / engineering
Open plan - sales / marketing
Open plan - call center
Other - please describe below:


Type of acoustical environment required (pick all applicable):

Full confidentiality (conversations are not intelligible)
Normal speech privacy (conversations are heard yet are not distracting between workstations)
Transitional Speech Privacy (conversations are heard and may be partially distracting)
Other - please describe below:


Ceiling height from floor to ceiling gridline:


Ceiling type (pick all applicable):

Fiberglass Fiberglass Foil Back Mineral Fiber Other None

Ceiling make and model number:

If you chose multiples, other or none, please describe:


Type of lighting fixtures:

Deep Cell Parabolic Ambient Indirect Flat Prismatic Other

If you chose other, please describe:


Square footage of space:

Open plan ft²: Closed wall office space ft²:

Type of flooring (pick all applicable):

Carpet Wood Tile Raised Flooring
Raised Flooring With Carpet Other

If you chose more than one, raised flooring, or other, please describe:


Type of furniture system (pick all applicable):

Steelcase Haworth Herman Miller Knoll Teknion Other

Product line(s) - Model number:

If you chose other, please describe:


System furniture panel height (pick all applicable):

36" 42" 48" 54" 60" 66" 72" 80"
Other None

If you chose other or none, please describe:


If you chose multiple heights, is the highest panel selected the primary workstation divider?
Yes No

If no, please describe:


Are the furniture panels acoustical?
Yes No
NRC Rating: STC Rating:

Work station size(s) (pick all applicable):

6'x6' 6'x8' 8'x8' 8'x10' Other
If you chose other, please describe:


Movable wall or demountable wall system make and model number if applicable:


Are there any full height floor to deck demising walls within the space?
Yes No
If yes, which rooms have this detail?


Private office / conference room size(s):


Height of ceiling plenum from ceiling gridline to deck:


Acoustical characteristics of plenum:

Concrete Metal Wood Sprayed On Fireproofing Other
If you chose other, please describe:


Is there fiberglass insulation on top of the ceiling panels?
Yes No

Are project installations to be union or non-union?
Union Non-union

Are there any building restrictions? i.e., asbestos, elevator access, loading docks, security, etc.
Yes No

If you chose yes, please describe:


Are scaled architectural drawings available, i.e., floor plan, furniture plan, reflected ceiling plan?
Yes No

If yes, are they available in electronic format, i.e., AutoCAD.dwg? (preferable format)
Yes No

Miscellaneous notes, timetables, or observations:


NOTE: You may want to print this completed form
for your records before submitting.