This free survey is powered by
  1. Surveys
  2. 2014
  3. December
  4. P
  5. Proximus street survey
0%
Questions marked with an * are required Exit Survey
 
 
* How many mailboxes?
   
 
 
 
* How many bells?
   
 
 
 
* How many floors?
   
* RDC=1
   
* R+1=2
   
 
 
 
* Façade present (Hor/Ver)?
 
NONE
 
Openbare
 
Verlichting
 
Coax
 
Themaverlichting
 
Other
 

 
 
 
* Facade possible?
 
YES
 
NO Gevel in glas
 
NO Beschermd monument
 
NO Alleenstaand gebouw
 
NO Gebouw dat ver achter de rooilijn staat
 
Other
 

 
 
 
* Type of BU?S=kleine winkels, slagers, bakkers,horecaM=Vrije beroepen, artsen, tandartsen, apotheek, advocatenkantorenL=Banken, grote winkels, administraties, KMO’s >15pers
 
S
 
M
 
L
 
 
 
* OFP possible?
 
POSSIBLE
 
NO:trottoir te smal
 
NO:obstakels (bushokje, …)
 
NO:terrassen / trappen
 
Other
 

 
 
 
* Syndic Name & adress:
   
 
 
 
* Comments/Suggestions:
   
 
Share This Survey:          Online Survey Software Powered by  QuestionPro Survey Software