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First, tell us a little about yourself.
*
I'm new to this form
Been here, done that
Welcome back! All we need is your name.
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Welcome! Let's start with your name.
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First
Last
What's your phone number?
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What's a good email for you?
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What's your website?
What is your company's name?
What's your business address?
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
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Indiana
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Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
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Mississippi
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Montana
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Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Tell us a little about your client.
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My client is residential
My client is commercial
I'm not working with a client
Great! What is your client's name?
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What is the name of your client's company?
What is your client's phone number?
*
What is your client's email address?
*
Who are we billing for this inspection?
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Me
My client
Someone else
Sounds good. What's their name?
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What's their phone number?
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What's their email address?
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Gotcha. No worries. Is the inspection residential or commercial?
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Residential
Commercial
What kind of mold inspection are we scheduling?
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Full Mold Inspection
Clearance Test
Surface Sample
What area in the space is of greatest concern?
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What area in the space is of greatest concern?
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What is the scope of the clearance test?
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- Select -
Contained space
Contained space and adjacent space
Entire space
Has Epilogue Inspections previously evaluated this space?
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Yes
No
Would you like to add a background particulate analysis?
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Yes
No
dander, pollen, etc.
What is the property address?
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Who will be the onsite point of contact?
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Me
My client
Someone else
No problem. What's their name?
*
What's their phone number?
*
What is their relationship to the property?
*
What is their relationship to the property?
*
Sweet! Let's get you on the calendar!
We're already on Jeff's calendar.
We haven't connected with Jeff yet.
We're scheduled for:
What is your first preferred date?
What is your second preferred date?
What time of day is best for you?
Morning
Afternoon
Anything specific you'd like us to know?
Anything else you'd like to say?
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