Microfiche Conversion Survey Form

Name

Title

Phone #

E-mail address

Client Company:Click here to enter text.

Type of Documents:Click here to enter text.

Volume

# / Question / Response
V1 / What is the minimum number of fiche to convert? / Click here to enter text.
V2 / How many frames are on each sheet of fiche, on average? / Click here to enter text.
V3 / How many total frames will be converted / Click here to enter text.
V4 / Can RICOH receive a representative sample of fiche? / Click here to enter text.

Comments

Click here to enter text.

Timeframe and System Format

# / Question / Response
T1 / By what date must the conversion be complete? / Click here to enter a date.
T2 / Do you expect to need access to the fiche during conversion? / Choose an item.

Comments

Click here to enter text.

Fiche Condition

# / Question / Response
F1 / What type of microfiche is being converted? / Choose an item.
If “Other”, please identify: Click here to enter text.
F2 / What is the overall condition of the fiche? / Click here to enter text. % Good (clean, sharp images)
Click here to enter text. % Fair (some scratches)
Click here to enter text. % Poor (damage, poor images)

Comments

Click here to enter text.

Indexing

# / Question / Response
I1 / Which of the following best describes the required indexing?
Indexing by Fiche Identifier only

Frames organized into document; indexing by Fiche Identifier & by Document

What is the average number of frames per document? Click here to enter text.
Each frame a standalone record; indexing by Fiche & by Frame
/ Choose an item.
I2 / What index fields are required at each level (fiche, document, or frame)? Indicate the maximum and the average length of each field. Also indicate where the data for the field can be found (e.g., on the fiche title bar, in a database, etc). Use a separate sheet if necessary.
Field Length (Characters)
Field Level / Index Field Name / Avg. / Max / Index Data Source
Fiche
/ Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Document
/ Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
How many document types? / Click here to enter text.
Frame
/ Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
Click here to enter text. / Click here to enter text. / Click here to enter text. / Click here to enter text.
I3 / Does a database exist with any or all of the index values? / Choose an item.

Comments

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Output Format

# / Question / Response
O1 / Into what document imaging system will the images be loaded? / Click here to enter text.

Comments

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Version 2-2, 10/20101