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The Chouinard Bros. Team
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Questionnaire
Name
*
Phone
*
Email
*
Address
*
Street Address
City
*
Postal Code
*
Closest Major Intersection
Phone (Alternate)
Is this your residence?
Yes - This is my residence
No - I am acting on behalf of someone
House Type
Detached
Semi Detached
Townhome
Other
Who are you acting on behalf of?
(Other) Please specify
Approximate Age of Home
*
Area of home requiring attention
Roofing
Eavestrough
Siding
Skylights
Ventilation
Insulation
Other
(Other) Please specify
Reason For Enquiry
Replacement
Repair
Inspection Report
Insurance Claim
New Roof
Other
(Other) Please specify
Age of existing area requiring attention?
Any major renovations to the home in the last 4 years?
Yes
No
Type of Existing Roof
Shingle
Cedar
Slate
Flat
Other
Unknown
(Other) Please specify
What type of roofing are you looking for?
Laminated
3 Tab
Cedar
Flat
Other
Unknown
(Other) Please specify
Type of Existing Eavestrough
Aluminum
Copper
Other
Unknown
(Other) Please specify
What type of eavestrough are you looking for?
Aluminum
Copper
Other
Unknown
(Other) Please specify
Type of Existing Siding on Property
Aluminum
Vinyl
Other
Unknown
(Other) Please specify
What type of siding are you looking for?
Aluminum
Vinyl
Other
Unknown
(Other) Please specify
Number of Skylight Units to be Addressed
1
2
3
4+
Approximate size of existing skylights
Approximate distance between homes (narrowest side)
Less than 6ft
Greater than 6ft
Is there room for a garbage bin in the driveway?
Yes
No
Is the area in question easily accessible?
Yes
No
Other
(Other) Please specify
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