Client Name: Installer Name:

Satellite Pre-Installation Site Survey
To prevent delays, the installer will contact you to set up an appointment for installation of your new satellite dish system.  Please review the checklist and be prepared to answer or discuss the items below.

Item

Question

Initials

No

1

Is there an unobstructed view (free from trees, buildings, towers, etc.) to the DirecWay? 

 

 

2

Do you have DirecTV, DirecPC, DirecDuo or other dish system now?

 

 

3

Do you have an outside electrical outlet for the installer to use?

 

 

4

Do you own your home or do you have your landlord’s written permission?

 

 

5

Is a telephone line and jack present within 25' of where the receiver will be?

 

 

6

Is the TV located within 50’ of where the dish will be mounted?

 

 

7

Do you understand there will be a service call charge if you or your designee is not present when the installer arrives?

 

 

8

What type of siding does your home have?  (brick, wood, etc.)  Note:  We cannot mount a dish on stucco, vinyl, or other non-rigid surface.

  

9

Is your TV cable ready?  (Does it have a round connector for cable attachment)

 

 

10

Do you understand the installer will be drilling one hole through the exterior of your house and terminating the connection where the cable comes in?

 

 

11

Do you understand that the appointment may be cancelled with little or notice and need to be rescheduled if slippery surfaces or other safety concerns arise?

 

 

12

Do you understand that additional costs, billable by the installer, are incurred if:

bulletCable runs longer than 100’ are required?
bulletThe dish requires pole or other separate structure mounting?
bulletParts other than included in the installation kit are needed?
bulletAdditional jacks, drops or penetrations are required?
bulletThe installer must return at a later date to complete the installation if no fault of his or her own?
bulletAn additional charge of .30 per mile is assessed over 35 miles from the installer’s location or the retail store where purchased?

 

 

13

 Have you read, understand and agree with the installer's obligations to you?    
Date of appointment: Time: Best time to call:
Alternate telephone or pager number to reach you:
Special Instructions/Directions: