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Intake form
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Name
*
Email address
*
What type of pool do you have?
Select
Residential
Commercial
What services are you interested in?
Please select at least one option.
Regular cleaning
One-time cleaning
Maintenance services
Repairs
Chemical balancing
Inspection services
How often do you require cleaning services?
Select
Weekly
Bi-weekly
Monthly
One-time only
What is the size of your pool?
Select
Small (up to 15,000 gallons)
Medium (15,000 - 30,000 gallons)
Large (30,000+ gallons)
What is your preferred method of contact?
Please select at least one option.
Phone
Email
Text message
What is your pool's primary use?
Select
Recreational
Therapeutic
Competitive
Do you have any specific concerns or issues with your pool?
Which service or services are you interested in?
Please select at least one option.
Commerical Pool Cleaning
Residential Pool Cleaning
Pool Repair Service
Additional questions or comments
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