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*

Fax

Best Time to Reach You

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.

Contact Info

Room Concept

Population Served

Floor Plan

Budget and Timing

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