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Exit Survey
 
 
Company Name
   
 
 
 
What area is being surveyed?
   
 
 
 
What type of fixtures are in the area?
 
Metal Halide
 
HPS
 
Mercury Vapor
 
T12 8'
 
T12 4'
 
T8 8'
 
T8 4'
 
4x4 Troffer
 
2x2 Troffer
 
Other
 
 
 
 
How many fixtures are in the area?
   
 
 
 
How many lamps in each existing fixture?
   
 
 
 
Total wattage of each existing fixture?
   
 
 
 
What is the voltage of the lighting system?
 
<=277
 
360
 
480
 
600
 
Other
 
 
 
 
How many feet are the fixtures off the ground?
   
 
 
 
How are the fixtures wire for service?
 
Hard Wired
 
Twist Lock
 
Straight 3 Blade
 
Straight 2 Blade
 
Other
 
 
 
 
How many hours per week are the lights on?