Blank Form (#4)
What do you need help with?
Lights, outlets, or switches
Electrical wiring / panel
Electrical for addition / remodel
Electric vehicle charger installation
TV Mounting
More options
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What do you need help with?
Generator
Fan
Smart home system
Lightning rod/lightning protection
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What kind of electrical service do you need?
Upgrade electrical panel
Repair electrical system problem (e.g. broken breaker or faulty wire)
Install, repair, or relocate electrical outlets, switches, or light fixtures
Not sure / Other
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What best describes your issue?
Circuit breaker needs to be installed, replaced, or repaired
Faulty wire
Fixture or appliance not working
Blown fuse
Not sure / Other
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What work do you need done?
Repair problem with electrical outlets, switches, or light fixtures
Install or relocate electrical outlets, switches, or light fixtures
Install or repair ceiling or exhaust fans
Install or repair smart home system
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What kind of fan do you need help with?
Ceiling fan
Bathroom exhaust fan
Attic or whole house fan
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Are you installing or repairing this fan?
Installing a new fan
Repairing an existing fan
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What do you need done with your smart home system?
Install new or additional system
Repair existing system or device
Other
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What components would you like to have integrated?
Smart security monitoring, video cameras, and doorbells
Smart audio speakers or lighting
Smart thermostats
Other smart home equipment
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What is the Ceiling Height?
- Select -
10 ft. or less
10 ft. – 11 ft.
12 ft. – 13 ft.
Exceeding 13 ft.
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What rooms or areas need electrical work? (Select all that apply)
Kitchen
Bathrooms
Bedrooms
Living room
Basement or attic
Garage, shed, or outdoor area
Other
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How many rooms or areas need electrical work?
1
2
3
4
5+
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Have you already bought an electric vehicle charging station?
Yes
No
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Is the installation site prewired to support the required electrical load (220v or 240v)?
Yes
No
Not sure
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What size is your TV
- Select -
24 inch
32 inch
40 inch
43 inch
50 inch
55 inch
65 inch
75 inch or more
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Would you like a dedicated outlet installed behind the TV?
Yes
No
Not sure
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What is the Ceiling Height?
- Select -
10 ft. or less
10 ft. – 11 ft.
12 ft. – 13 ft.
Exceeding 13 ft.
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What kind of work do you need done?
Install generator
Repair or service generator
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What type of generator is it?
Standby or fixed generator
Portable generator
Not sure
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Do you need help buying a generator?
Yes
No
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What type of generator is it?
Standby or fixed generator
Portable generator
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What best describes your issue?
Won't start
Not enough power
Keeps shutting off
Excessive noise or vibration
Fuel leaks
General maintenance needed
Other
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What kind of fan do you need help with?
Ceiling fan
Bathroom exhaust fan
Attic or whole house fan
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Are you installing or repairing this fan?
Installing a new fan
Repairing an existing fan
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Next
What do you need done with your smart home system?
Install new or additional system
Repair existing system or device
Other
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Next
What components would you like to have integrated?
Smart security monitoring, video cameras, and doorbells
Smart audio speakers or lighting
Smart thermostats
Other smart home equipment
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What do you need done with your lightning protection?
Repair
Installation
Replace
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What is the Ceiling Height?
10 ft. or less
10 ft. – 11 ft.
12 ft. – 13 ft.
Exceeding 13 ft.
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What is the Ceiling Height?
10 ft. or less
10 ft. – 11 ft.
12 ft. – 13 ft.
Exceeding 13 ft.
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Can you describe the features around your home?
Urban
Trees
Mountains
Water
Flat land
Other
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What is the square footage of your home or business?
Less than 1,000 sq ft
1,000 – 5,000 sq ft
More than 5,000 sq ft
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How tall is your home?
1-2 stories
3-5 stories
6-10 stories
11+ stories
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What kind of location is this?
Home
Business
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What kind of location is this?
Home
Business
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What kind of location is this?
Home
Business
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What kind of location is this?
Home
Business
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What kind of location is this?
Home
Business
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What kind of location is this?
Home
Business
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What stage of the project are you in?
Ready to hire
Planning and budgeting
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When do you need this work done?
Within 2 weeks
More than 2 weeks
Not sure - still planning/budgeting
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When do you need this work done?
Within 2 weeks
More than 2 weeks
Not sure - still planning/budgeting
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When do you need this work done?
Urgent (1-2 days)
Within 2 weeks
More than 2 weeks
Not sure - still planning/budgeting
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When do you need this work done?
Urgent (1-2 days)
Within 2 weeks
More than 2 weeks
Not sure - still planning/budgeting
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Upload photos of the area of work
File Upload
Choose File
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Please tell us a little about your project.
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Tell us about you
First Name
Last Name
Phone
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Where should we provide service?
Address Line 1
City
State
Zip Code
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How did you head about us
- Select -
Google
Yelp
Referral
Social Media
Other
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