Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
What is the Square footage Surface Area of Your Pool
*
CLICK HERE
to get your square footage
Is your pool gunite plaster?
*
Yes
No
Pool ever been fiberglassed?
*
Yes
No
Do you have a one-piece fiberglass pool?
*
Yes
No
Did the fiberglass fail or is the gel coat worn down?
*
Yes
No
Is your pool a fiberglass wall with a concrete floor?
*
Yes
No
Do you have blisters on your walls?
*
Yes
No
Is your pool a block construction?
*
Yes
No
Is your pool smooth or rough?
*
Smooth
Rough
Is your pool poured with concrete forms?
*
Yes
No
Do you have a concrete pool with a fiberglass coating?
*
Yes
No
Is your pool indoors or outdoors?
*
Indoors
Outdoors
Is the pool a residential or commercial?
*
Residential
Commercial
Is your pool leaking
*
Yes
No
Did you do a food color dye test to find the leak?
*
Yes
No
Has your pool ever been painted with rubber based paint?
*
Yes
No
Questions/Comments:
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*
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