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Web Form: Refinishing Estimate

Everyone has a bathroom and a kitchen. Many people choose to remodel them. Use this Refinishing Estimate web form to encourage your customers to request a bid to refinish them. Countertops, tile, let them send a photo to you.
 

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Refinishing Estimate Questionnaire

 
 

Which rooms need refinishing?

 

Kitchen
Bathroom(s)
Entry
Other

 

Other Rooms: 

 
 

Please describe your property

Select: 

 
 

What type(s) of refinishing?

Type: 

Bathtub
Tiles
Countertops
Other

 

Other: 

 
 

What level of preparation is necessary?

 

Customer will move furniture
Contractor will move furniture

 
 

Which problems or services will need special attention?

Type Of  
Work Needed: 

Scratches
Chips and Cracks
Discolorations
Gouges and Holes
Burns
Cuts
Other

 

Other: 

 
 

Choose the appropriate status for this project

Select: 

 
 

When would you like this request to be completed?

Select: 

 
 

Do you need help after business hours?

Select: 

Yes
No

 
 

Is this request covered by an insurance claim?

Select: 

Yes
No

 
 

Is this a commercial location?

Select: 

Yes
No

 
 

Do you own this property?

Select: 

Yes
No

 
 

 
Please provide a short description of your project:

 

   

 
You may upload a picture of
your project if you wish.

 

Attach  
 A Photo: 

   

Leave field blank if no photo attached.
 

 

What is your preferred method of communication?

Select: 

Phone
Email

 

First Name: 

Last Name: 

Email: 

 

Contact phone:

Best time to call:

 

Alternate phone:

Best time to call:

 

Address: 

City: 

State: 

Zip: 

 

 
Additional Comments:

 

 

 
 

Send me a copy

  
 

Enter the security code you see above.

 

Security Code:  

 

 
 

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