Name
Address
City
State
Zip
Phone Number (xxx) xxx-xxxx
Email
1. My reasons for purchasing a pool are: (Rate from 1 to 5, with 1 being the most important.)
Cooling Off
Family Fun
Family Togetherness
Entertainment
Recreation
Beauty & Asthetics
Health
Prestige
Notes
2. How did you hear about our company?
Radio
TV
Newspaper
Magazine
Mailer
Customer Referal (if so, please tell us who)
Who can we thank for this referral?
3. Recreation - Would you want your pool to be equipped with any of the following?
Basketball Hoop
Volleyball Net
Slide
Other - Please Specify
Notes
4. Check any equipment or features you would like more information about.
Pool Cover
Pool Heater
LED Lights
Portable Cleaning System
Automated Chlorination
Automated Controls and Timers
Salt Generator
Negative or Vanishing Edge
Ozonator
Notes
5. Swimming Pools range from $25,000 to $100,00
Do you have a "Not to Exceed" amount?
6. Are you interested in a Vinyl or Gunite Pool
Choose one
Gunite
Vinyl
7. What pool shape are you interested in?
Choose one
6" Radius
2' Radius
4' Radius
Grecian
Patio
Oval
Roman End
Kidney
Mountain Lake
Keyhole
Lagoon
8. What size pool are you interested in? (Dimensions)
9. Is a waterfall or water feature...
Choose one
Very Important
Important
Somewhat Important
Not Interested
Undecided
10. Is sunbathing...
Choose one
Very Important
Important
Somewhat Important
Not Interested
11. What Decking Material do you prefer?
Stone
Stamped Concrete
Stained Concrete
Deck Coating
Broom Finish Concrete
Pea Gravel
Deck Pavers
Notes
12. What Coping do you prefer?
Travertine
Stone
Limestone
Brick
Cantilever Decking
Aluminum
Notes
13. Is a Spa equipped pool....
Choose one
Very Important
Important
Somewhat Important
Not Interested
14. If equipped with a spa, is the spa to be used...
Year Round
Summer Only
Elevated Above Ground
Same as Pool Level
15. How much time do you expect to spend on maintenance
As little as possible
Some time may be OK
Not concernerd - I have lots of time
I plan to use a monthly service
Notes
16. The cost to operate your pool is...
Choose one
Very Important
Important
Somewhat Important
Not Concerned
17. Do you have a survey of your property (Given to the builder)
No
Yes
Questions / Comments