Questionnaire form BACKUP SOLUTIONS Back Contact Company Name Phone Email Preferred contact: PhoneEmail IF YOU WISH TO US CONTACT YOU BACK WITH PRICE QUOTE ABOUT BACKUP SOLUTION CUSTOMISED TO YOUR NEED AS PER BELOW INFORMATION, PLEASE TICK THIS BOX: Please state the average monthly bill for electricity (only) for last year € kWh Yearly increasing or decreasing of electricity bill in %: Are you using nightsaver option/meters ---YesNo How many times in last 5 years your home or business experienced power outage/blackout? 5 years ago 4 years ago 3 years ago 2 years ago last year ago Is there any solution you are using for eliminate impact of these blackouts? (Like petrol/diesel generator, already have battery backup solution etc) Please describe it: Regarding your experience and best feeling, will this trend getting worse or better? WorseBetterNo change Please state the average sum of money in last year you loss due blackout/power supply shut down. For example in case of blackout for your business, count average loss of profit (not total income), wasted food you need to thrown out from fridge/freezers, wages you need pay for your employees during blackout time even they could not work etc. € What is your average daily electricity consumption in kWh * average daily consumption is easy to count from electricity bill. Total consumed kWh per month (or two) divided by days you are using electricity. In case of some business such office, which is closed during weekend, you count only working days. What is your allowed maximum power draw in kW? *Amperage is possible to read on main fuse breaker Would you prefer to purchase solution as final product or in form of monthly services? * you can either purchase whole backup solution as product, or sign contract for monthly services in form of “subscription”. final productmonthly servicesdon’t know, need more info Regarding the uninterruptible backup solution, what else are you looking for or want? Features, services etc.