To arrange a quote to implement the Touchscreen Hearing Check within your organisation, simply complete the form below.

We will get back to you with 48-hours with a detailed response, including delivery schedules and an action plan for processing a potential order. Additionally, if there are any special offers that are not yet live on our website, we will be sure to let you know.

Quote Form

First Name*:
Last Name*:
Position:
Organisation:
Street Address*:
Suburb/Town*:
Country*:
Postcode:
Email*:
Contact Phone*:
Skype Username:

Preferred contact method:EmailPhoneSkype

How you see that your organization may utilize the Touchscreen Hearing Check (Select all that apply)?

Pre-screening tool within the hearing care locationCommunity Outreach/Free Screening EventsUnmanned at strategic locationsIndustrial or commercial hearing checksEmployee wellbeing program screenings
Other


Requirements

1. How many Touchscreen Hearing Kiosks (stands) do you require?
    a. Would you like us to also supply Protective Slips for your back-drop graphic panels (highly recommended)?
    Yes, pls. include in quoteNo
    b. Would you like us to supply Duffle Bag with wheels, which will assist staff transporting the stands and parts between locations?
    Yes, pls. include in quoteNo
2. How many desktop units do you require?
3. How many wall-mounted units do you require?
4. Will you be supplying your own iPads?
YesNo, pls. include in quote
5. How many sets of Standard Headphones do you require? NB: CAD MH310 or similar (@$130 each). Calibrated to solution.
6. How many sets of Audiometric Headphones do you require? HINT: DD45 10ohm with Peltor X5A occluding cups. Improved accuracy, particularly in noisy settings
7. Are there any other considerations you would like to discuss (e.g. different languages required)?:
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