1. How old is your home?
   Under construction
   1-7 years
   8-14 years
   15+ years

2. What style is your home?
   Single level
   Bi-level
   Two-story
   Townhouse
   Condominium

3. What size is your garage?
   1-car
   2-car
   Other

4. Do you need a new operator?
   Yes
   No
   Not sure

5. Would you like windows in your new door?
   No
   Yes
If yes, type of panes desired:   

6. How do you use your garage?
   To park cars
   As a workshop or rec room
   Storage
Other:   

7. Is your garage:
   attached to the house?
   detached from the house?
   underground?
Other:   

8. Which of the following is a high priority when selecting your new garage door? (Select all that apply.)
   Price
   Durability
   Insulation
   Colour
   Appearance
   Ease of maintenance
   Shock resistance
   Warranties
   Safety
Other:   

9. Will you need us to remove the existing door?
   Yes
   No

10. Will you require work on the door frame?
   Yes
   No
   Not sure

11. Is there anything else you would like us to know?
  

12. How did you hear about Rossi Overhead Doors Service?
   Internet search
   Television
   Radio
   Newspaper
   Direct mail
   Home show
   Friend, relative
Other: