Client Intake Form

1

What Areas Are You Enquiring About* This field is required.

Kitchen

Bathroom/s

Handyman Repairs

Bedroom/s

Garage Conversion

Outdoor Work

Home Addition

Doors / WIndows

Roofing

Other

2

OTHERDescribe Other

3

Is There an Open Insurance Claim, or Do You Plan On Opening a Claim?

YESNO

4

Are you aware that It is illegal in Texas for a contractor to offer to waive, rebate, or absorb a property policyholder's deductible?State law: Requires contracts for $1,000 or more that involve an insurance settlement to include a notice that the policyholder must pay the deductible. We only work with people willing to obey the state laws.

YESNO

5

Do You Have a Home Inspection Report That You Need an Estimate of Repairs?New Home Transaction

YESNO

6

What Is Your Timeline to Get Started?* This field is required.How Soon To Start the Project

ASAP

Weeks

Months

No Rush

7

Date You Would Like the Job Completed By

Date

8

What Matters Most When It Comes to RemodelingClick and Drag The Answers Below, in Order of Your Personal Priority

9

Image Upload (Images or Plans)Please upload any pictures that my help us prepare

Drag and drop files here

Select files to upload

10

Please Select Your Budget RangeJust a General Range You Would Expect to Pay for This Service

12

Friend: Name of Person Whow Referred You

13

Best Email To Reach You* This field is required.We Never Share Your Data or Spam You

14

Your Name* This field is required.

First Name

Last Name

15

Best Phone Number to Reach You By Text or Call:* This field is required.

Please enter a valid phone number.

16

What Is Your Preferred Method of Contact

Text Me

Call Me

Email Me

17

Street Number & Name* This field is required.

18

City* This field is required.

19

Zip* This field is required.

20

Ok To Send SMS Messages? (Data Rates May Apply)You Can Opt Out Anytime

YES

NO

21

Any Additional Details About Your Project That May Help Us Better Serve You.

22

Office Email

example@example.com

23

Please verify that you are in fact a human* This field is required.