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EpoxyMaster Custom Designing Services
EpoxyMaster Custom Designing Services
EpoxyMaster Services Customer Flooring Questionaire
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How Did You Hear About Us?
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Date:
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Customer Name:
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Address:
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City:
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State:
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Zip Code:
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Phone:
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E-Mail Address:
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1. How many approximate square feet are you considering?
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2. Choose the type of service, product or surface you are looking for:
Acid Staining
Asphalt
Coating Removal
Concrete Countertops
Concrete Overlays
Concrete Polishing
Concrete Pours
Concrete Resurfacing
Concrete Stamping
Custom Designing
Diamond Grinding
Electrostatic Dissipating Floors
Epoxy Floor Coatings
Epoxy Metallic Pearl Effect Coatings
Epoxy Wall Coating (FRP Rated)
Exposed Aggregate
Pool Decks
Quartz Flooring
Residential & Commercial Painting
Shot Blasting
*
3. Is there an existing coating or sealer on the floor?
---Please Select---
YES
NO
*
4. Is patching required?
---Please Select---
YES
NO
*
5. Are there expansion joints that need to be filled?
---Please Select---
YES
NO
*
6. Is the project area open with aisle ways cleared and machines removed?
---Please Select---
YES
NO
*
7. What type of electrical power is available?
220V
440V
Phase
Other
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8. What is the desired start date?
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9. What is the expected finish date?
10. Can you send photos of the work area? If so, please upload here:
Maximum file size allowed: 9.77MB
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11. Will there be employees working in the area during the requested project?
---Please Select---
YES
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12. Does the project area need to be draped and covered?
---Please Select---
YES
NO
*
13. Will a trash dumpster be available?
---Please Select---
YES
NO
*
14. Are funds in your budget allocated for this project?
---Please Select---
YES
NO
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15. Are you interested in financing?
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16. Are there any competing quotes that we can compare to?
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17. Are there any other requirements to be aware of? If yes, please indicate:
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Thank you for your submission! We look forward to reviewing your project and contacting you very soon.
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