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Name
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Email address
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Phone number
Property address
What type of service are you interested in?
Please select at least one option.
Roof replacement
Roof repair
Insurance claim assistance
Free inspection
Other construction services
What is the current condition of your roof?
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Excellent
Good
Fair
Poor
Severe damage
Have you filed an insurance claim for this issue?
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Yes
No
If yes, what is the status of your claim?
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Pending
Approved
Denied
In progress
When did the damage occur?
How did you hear about us?
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Google Search
Social Media
Referral
Local Advertisement
Which service or services are you interested in?
Please select at least one option.
Insurance claim assistance
Free inspections
Comprehensive construction services
Gutters
Siding
Additional questions or comments
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