OCM Security & Electrical Services


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1. What type of home do you live in?

Bungalow
2 Storey House
Apartment
Dormer
Other

2. How old is your home? (no. years)



3. Is your home prewired for a security system?

Yes
No

4. How many external doors/entry point are there to your home?

Front door
Single back door
Patio (sliding) door
French door

5. How many downstairs windows in your home?



6. How many of these downstairs windows are bay or over 8 foot in length?



7. How many upstairs windows in your home are vulnerable/accessible?



8. How many downstairs rooms (excluding bathrooms and en-suites) in your home?



9. Are there any indoor pets in your home?

Yes
No

10. Do you have a landline connection?

Yes
No

11. Would you prefer a wired or wireless system?

Wired
Wireless

12. How did you hear about us?

Radio advertising
TV advertising
Leaflets
Internet search
Internet promotion
Other (please specify below)
Other

13. How would you like to pay?

1 Installment
Monthly Installments

14. How would you like to be contacted?

Phone Call
Email

15. Did you find our website via google?

Yes
No

16. If so what words or word did you type into the google search engine to direct you to our website?





Name*

Address *

Country*

Email

Daytime contact no. (incl. area code)*