Location Survey - Wholesome Vending

Contact Name*

Location / Business Name*

Address*

Street Address City State ZIP Code

Email*

Phone*

Location operating hours (ex: 9-5pm)*

Does the location operate year round?*

When is it closed?

How many machines will be placed at this location?*

What is the daily foot traffic?*

Is there existing vending?*

How many and what kind?

Are there any dietary restrictions and if so what are they?*

Are there any product restrictions due to existing vending contracts?*

Are there any special product requests?*

Where will the machine be located on site?*

Is there a power outlet accessible to the machine location?*

Are there any special Insurance Requirements?*

Will this be a standard configuration or Drink Heavy?*

Are there doorways on the delivery route?*

Is the door opening at least 28” Wide and 76” High?

Will the delivery REQUIRE going up stairs?*

How many stairs?

Is there an elevator on the delivery route?*

Will the 72”H x 39’” W x 35”D machine fit through them?

Are there any other obstacles on the delivery route that need to be accounted for?*

Can they be moved out of the way?

Note: Machine needs 6” of space between the wall and the backside of the machine. This is in addition to the 35” depth for a total of 41”.

Location Specialist*

Date (ex: MM/DD/YYYY)*