Central Vacuum Survey Form 1


(Please take a minute to fill out the form below)

1. New or Existing Home?     new  existing
If new, what stage is your home at?    
If existing, what year was your home built?

2. How many square feet is your home? 
1000-2000sf   2000-3000sf   3000-4000sf   
4000-5000sf   over 5000sf    other sf

3. Is your home already plumbed for central vacuum?   yes  no   
When would you like to schedule a test-drive?
4.  Has a central vacuum system been installed?   yes  no
What model and brand (or color)?

5.  Schedule a test-drive?

6.  Schedule a consultation?

7.  Do you need more information?  yes  no  

8.  Other questions about central vacuum systems?  


Complete this form, press submit to send




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