Mattress Firm-MWSPI Site Survey
Store #
*
Store Name
Surveyor Name
First Name
Last Name
Surveyor Phone
-
Area Code
Phone Number
E-mail
Door 1
Door 1 Location
Please Select
North
South
East
West
Is door used as customer entrance?
Please Select
Yes
No
Is door used as employee entrance?
Please Select
Yes
No
Door Location Description
Key cylinder on outside
Please Select
Yes
No
Key Cylinder on Inside
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer Operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Door Photo- Inside
*
Door Photo-Outside
*
Door Photo-Edge
*
Additional Photos
Additional Photos
Additional Photos
Do you want to add another door?
*
yes
no
Submit
Back
Next
Door 2
Door 2 Location
*
Please Select
North
South
East
West
Is door used as customer entrance?
Please Select
Yes
No
Is door used as employee entrance?
Please Select
Yes
No
Door location discription
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will Nexgen XT be installed on this door?
Please Select
Yes
No
If possible, record manufaturer of lock hardware
Is there another Alum Door w/ Mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of inside of door
*
Photo of outside of door
*
Photo of edge of door
*
Additional Photo
Additional Photo
Additional Photo
Do you want to add another door?
*
Yes
No
Submit
Back
Next
Door 3
Door 3 Location
*
Please Select
North
South
East
West
Is door used as customer entrance?
Please Select
Yes
No
Is door used as employee entrance?
Please Select
Yes
No
Door location Description
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will Nexgen XT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w Mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door?
Please Select
Yes
No
Closer Operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of Inside of door
Photo of outside of door
Photo of edge of door
Additional Photos
Additional Photos
Additional Photos
Do you want to add another door?
*
Yes
No
Submit
Back
Next
Door 4
Door 4 location
*
Please Select
North
South
East
West
Is door used as customer entrance?
Please Select
Yes
No
Is door used as employee entrance?
Please Select
Yes
No
Door location description?
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of inside of door
Photo of outside of door
Photo of edge of door
Additional Photos
Additional Photos
Additional Photos
Do you want to add another door?
*
Yes
No
Submit
Back
Next
Door 5
Door 5 Location
*
Please Select
North
South
East
West
Is door used as a customer entrance?
Please Select
Yes
No
Is door used as an employee entrance?
Please Select
Yes
No
Door location description
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of door Inside
Photo of door ouside
Photo of door edge
Additional Photos
Additional Photos
Additional Photos
Do you want to add another door?
*
Yes
No
Submit
Back
Next
Door 6
Door 6 location
*
Please Select
North
South
East
West
Is door used as a customer entrance?
Please Select
Yes
No
Is door used as an employee entrance?
Please Select
Yes
No
Door location description
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so where?
Notes on door hardware
Swing of door?
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of Inside of door
Photo of outside of door
Photo of edge of door
Additional Photo
Additional Photo
Additional Photo
Do you want to add another door?
*
Yes
No
Submit
Back
Next
Door 7
Door 7 location
*
Please Select
North
East
South
West
Is door used as a customer entrance?
Please Select
Yes
No
Is door used as an employee entrance?
Please Select
Yes
No
Door location description
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
If so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of outside of door
Photo of inside of door
Photo of edge of door
Additional Photo
Additional Photo
Additional Photo
Do you want to add another door?
*
Yes
No
Submit
Back
Next
Door 8
Door 8 location
*
Please Select
North
South
East
West
Is this door used as a customer entrance?
Please Select
Yes
No
Is this door used as an employee entrance?
Please Select
Yes
No
Door location discription
Key cylinder on outside?
Please Select
Yes
No
Key cylinder on inside?
Please Select
Yes
No
Will NexgenXT be installed on this door?
Please Select
Yes
No
If possible, record manufacturer of lock hardware
Is there another Alum Door w/ mortise lock?
Please Select
Yes
No
Is there a Knox Box on this facility?
Please Select
Yes
No
if so, where?
Notes on door hardware
Swing of door
Please Select
Yes
No
Closer operation
Please Select
Yes
No
Bolt/Latch function
Please Select
Yes
No
Hinges
Please Select
Yes
No
Does door close and latch (or lock) properly?
Please Select
Yes
No
Photo of inside of door
Photo of outside of door
Photo of edge of door
Additional Photo
Additional Photo
Additional Photo
E-mail
Submit
Should be Empty: