Sensory Room Quote

Contact Info

Name*

Your Role

Name of School or Organization

Tax Exempt?

Yes
No

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

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Room Concept

Briefly describe your Sensory Room concept

Purpose/Objective for Sensory Room*

(Check all that apply)

Population Served

What are the developmental needs of the children and/or teens who will use the Sensory Room? (Check all that apply.)*

(Check all that apply)

If "Other," please specify:

What are the age ranges?*

Do you need to accommodate wheelchair users?*

Yes
No

How many students do you expect will use the Sensory Room at the same time?*

1-2
3-4
More than 4

Floor Plan

Length x Width of Room (in feet)*

Length x Width of Doorway (in feet)*

Ceiling Height (in feet)*

Type of Ceiling

Floor Covering

Location of Doors & Windows

Please upload room schematic if available

Max. file size: 128 MB.

Budget and Timing

Budget Range*

What's your time frame for creating the Sensory Room?*

Please use mm/dd/yyyy - mm/dd/yyyy format.

When do you need this quote?

Anticipated Order Date

Additional Comments

Please list product preferences, suggestions for new products, or additional comments regarding your Sensory Room quote.

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Contact Info

Room Concept

Population Served

Floor Plan

Budget and Timing

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