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Pool Leak Pro - Client Intake Form
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New Client
Returning Client
Please provide as much information as possible. This will help us to help you. Thank you.
Type of Pool/Spa
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Residential Pool/Spa
Apartment Complex/Community Pool/Spa
Commercial Facility (YMCA/Hotel.etc)
Property Owner - First Name
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Property Owner - Last Name
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Street Address (Pool Location)
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Address Line 2
City
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State
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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
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Mobile Number
Home/Work Number
May we text you?
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Yes
No
Email Address - If none available, type none@none.com. Please note, a majority of our communications are initiated via email so the lack of an email address may delay our response.
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🛈
Confirm Email Address
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🛈
Additional Contact Person, in addition to the person above, who we may be meeting/talking/scheduling with (May be left blank)
Phone Number for Additionl Contact (If Needed)
May we text you?
Yes
No
How did you hear about us?
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Pool Type
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Above-Ground Vinyl Liner
In-Ground Vinyl Liner
In-Ground Concrete/Gunite/Plaster
Fiberglass Shell
Fiberglass Walls/Concrete Bottom
Other
Other
Type of filter media?
Cartridge
Diatomacious Earth (DE)
Sand
Other
Other
Primary Reason for Needing Our Services
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Pool Leak (Water Loss)
Air in System (incl pump priming issues)
Possible Clogged Pipe
Underwater Repair (Diving Services to address a known issue)
Other (please explain briefly)
Other (please explain briefly)
If pool is leaking, approximately how many inches of water are you losing daily?
Current Pool Conditions:
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Yes
No
Other
Is the pool open?
Yes
No
Other
Other
Is the pool clean?
Yes
No
Other
Other
Is the pool chemistry balanced?
Yes
No
Other
Other
Is the water clear?
Yes
No
Other
Other
Is the pool full to an operational level?
Yes
No
Other
Other
Is the filter equipment currently operational?
Yes
No
Other
Other
Pool dimensions and/or gallons
Age of pool, liner, and/or finish?
About Your Pool:
Yes
No
Other
Is there a sprinkler system located near the pool?
Yes
No
Other
Other
Is there a built-in Polaris or other built-in cleaning system?
Yes
No
Other
Other
Does the pool have an attached spa?
Yes
No
Other
Other
Dos the pool have an automatic fill?
Yes
No
Other
Other
Are there any floor return jets or bottom cleaning-system heads?
Yes
No
Other
Other
Does the pool have a slide that is normally run from the filter?
Yes
No
Other
Other
Does the pool have a waterfall attached to the filter equipment?
Yes
No
Other
Other
Does the pool have any fountains attached to the filter equipment?
Yes
No
Other
Other
Does the pool have a sheer descent water feature attached to the filter equipment?
Yes
No
Other
Other
How many skimmers?
How many main drains/bottom suctions?
How many wall returns (jets) incl those in steps, love seats and swim-outs?
How many lights in the pool/spa?
Please feel free to submit any images you have of the pool/spa and/or the problem areas.
Additional Information, questions, or comments. Please add as much info as possible including how long this has been going on or when it was first noticed, how the water level held over winter, any repairs or construction to or near the pool, any efforts by other parties to locate the problem and their findings, etc. The more information we have, the better we can serve you!