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MICROFILMING QUESTIONNAIRE

This questionnaire is designed to assist clients of Northeast Document Conservation Center (NEDCC) in reporting necessary information about their collection, which will aid NEDCC in formulating a price quote. Please answer the following questions relative to the collection proposed for microfilming. Please note that, for security reasons, accented letters and the following characters are not allowed: < > & ~ ^ © ™
Contact Name:
Name of Institution:
Address:
City, State, Zip, Country:
Telephone:
Fax:
Email:
1.  Name of the collection: 
2.  Time span of the collection:  
3. What type of material is in the collection? (please check)  Handwritten
Manuscripts
Scrapbooks
Newspapers
Books
Photographs
Photographic negatives
Other (please specify): 
Number of Items (required):  
4. Is the material bound?    Yes     No
5. If so, can the material be disbound before filming?    Yes     No
6. If bound, and if disbinding is not possible, how wide (in inches) is the interior margin between the binding and the text block?
7. What is the length and width of one page*? (L x W inches)
8. What is the thickness of the closed volume IN inches)
9. If bound or in leaves, what is the width (in inches) in the open position (a two-page spread)?
10.  How many total pages are there?  
11.  Are the pages numbered?     Yes      No
12. If the material allows for it, would you like to film two pages perframe?    Yes     No
13. Is the material:
Brittle  Yes       No
Discolored  Yes       No
Stained  Yes       No
Torn (in places)  Yes       No
14. If applicable, has the ink of the text block: 
Faded  Yes       No
Bled through the pages
(in places)		  Yes       No
15. In general, how would you describe the contrast between the background and the image or text? Excellent
Very Good
Good
Fair
Poor
Extremely Poor
16. Will you prepare the material for filming, i.e., ensure it is arranged in proper filming order, indicate any missing pages or items, and provide filming instructions?  Yes       No
17. If you have any additional comments or details about your collection, enter them here.
18. Would you like to purchase: 
Print Master  Yes       No
Positive Use Copy  Yes       No
NOTE: NEDCC microfilm clients customarily choose to purchase three generations of microfilm. The first generation, or Camera Master, is the actual film produced at the camera. The Camera Master serves as the archival microfilm and should be kept in an environmentally controlled storage facility. The second generation, or Print Master, is a negative copy of the original Camera Master that is used to make all further duplicate copies. The third generation, or Use Copy, is the film actually made available to researchers and other end users. The Use Copy is usually a positive duplicate of the Print Master.
19. Are there photographs and/or color elements?  Yes      No
If so, %  
20. Would you consider sending NEDCC a sample of typical material for estimation? Yes      No
21. Will you arrange delivery?** Yes      No
22. Will this estimate be used for a grant proposal? If so, please indicate which grant:
23. If this estimate is for a grant proposal, please provide the grant application deadline.
24. NEDCC would like to gauge our clients' interest in digitization. If we were to offer it, would your institution be likely to use the following service?
Scanning of Original Material  Yes   No

 

*Page — as in a single side of one page in a book.

**If you plan to send materials to NEDCC, we recommend using registered mail, UPS Groundtrak or Federal Express to safeguard your collection materials.