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Floor Assessment Form
What is your preferred location?
Select
Boise, ID
Kennewick, WA
Medford, OR
Portland, OR
Salem, OR
Springfield, OR
What type of resident are we evaluating?
Select
Multifamily home
Single family home
Who will be responsible for the invoice if the job is scheduled?
Select
Myself
Property Management Company
# of Rooms:
Select
1
2
3
4
5
Do you have stairs?
Select
Yes
No
Vacant or Occupied?
Select
Vacant
Occupied
What condition is your floor regarding wear?
None
Light
Moderate
Heavy
What condition is your floor regarding stains or soil?
None
Light
Moderate
Heavy
What condition is your floor regarding needing repairs?
None
Light
Moderate
Heavy
What condition is your floor regarding odors?
None
Light
Moderate
Strong
What condition is your floor regarding pet damage?
None
Light
Moderate
Strong
Your Company Name
Facebook
Twitter
Linkedin
Google+
A brief intro is always great. It's Helps people to identify your company.
Address
[email protected]
800-555-0101
yoursite.com
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