Sani Site Survey

This Site Survey that you are about to fill in is to be used at your customer's location to order the equipment needed during the installation of the Sani Nudge system.

The information you file will generate an order sent to you by email. When you submit the Site Survey, Sani Nudge will verify your order and send you a summary shortly after.

If a Purchase Order number (PO number) is required, a quote/purchase order will be sent to your email for you to verify and subsequently submit your PO number to confirm your order.

We will confirm the order after you have provided the PO number.

Before you start, make sure you know the following:

  • Who the customer is
  • Which ward(s) to install in
  • Duration of contract (years)
  • Who will install the system
  • Where to ship the equipment
  • When you expect to install

With this in place, let’s get started! 🤩

Get started

Sani Site Survey

Fill out the form below.

Customer Information

*Please provide customer name.
*Please select customer country.
*Please provide customer city.
*Please provide customer zipcode.
*Please provide customer street name.
*Please provide customer street number.
*Please provide expected installation date.

Shipping address for hardware

Copy from above
*Please provide shipping name.
*Please select shipping country.
*Please provide shipping city.
*Please provide shipping zipcode.
*Please provide shipping street name.
*Please provide shipping street number.

Wards

+ Add New
*Please add at least one ward.
Submit

You are about to submit the following information:

Customer Information

Name:
Country:
City:
Zipcode:
Street name:
Street number:
Expected installation date (estimated):
I need online support:
WhatsApp:

Shipping address for hardware

Name:
Country:
City:
Zipcode:
Street name:
Street number:
PO number is required:

Wards

Edit
*Please provide your name.
*Please provide your email.

Please wait while your information is uploading. Submission can take several minutes.

Do not refresh the page!

Uploading...

Ward

*Please enter ward name.
*Are you sure you don't want to upload a picture of the blueprint of the ward?

Room types

+ Add New
*Please add at least one room type.

Dispenser types

+ Add New
*Please add at least one dispenser type.

Staff types

+ Add New
*Please add at least one staff type.
*Please select duration of contract.
Delete Save

Room type

*Please select room type.
*Please select total number of wall/bed positions.
*Are you sure you don't want to submit a sample picture of the room type from the door?
*Are you sure you don't want to submit a picture of where the sensor should be installed?
Delete Save

Dispenser type

*Please enter model name.
*Please enter model number/ID.
*Please enter total number of dispensers.
*Please select Soap or hand rub.
*Are you sure you don't want to submit a picture of the dispenser from the front?
*Are you sure you don't want to submit a picture of the dispenser from the side?
*Are you sure you don't want to submit a picture of the label with the name of the dispenser?
Delete Save

Staff type

*Please enter staff name.
*Please enter total number of staff with this job title.
*Are you sure you don't want to submit a picture of the staff’s existing ID card?
Delete Save

If you close down the site survey, your data will not be saved.