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Do you own your home?*
- Yes
- No
How old is your home?*
- 5 years or less
- 5-10 years
- 10-20 years
- 20 years or older
Are you happy with the current condition of your kitchen?*
- Yes
- No
If you could change one thing about your kitchen what would it be?*
- Sink and Faucet
- Cabinets
- Lighting
- Counters
- I'd change the whole darn thing!!

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First Last
Phone*
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Name
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Are you in the market for a new vehicle?*
- Yes
- No
What is your annual income?*
Which type of vehicle do you prefer?*
- Car
- Truck
- SUV
- I'm not sure
Have you purchased a vehicle from us before?*
- Yes
- No

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First Last
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Do you own your home?*
- Yes
- No
How many bathrooms are in your home?*
- 1
- 2
- 3 or more
How would you rate the overall conditions of your bathrooms?*
- Poor
- Good
- Very good
- Pristine

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Name
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Do you own your home?*
- Yes
- No
Do you know the age of your roof?*
- 0-5 years old
- 6-10 years old
- 11 years old or older
- I don't know
Are you currently or have you ever had problems with your roof?*
- Yes
- No
- I'm not sure

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Comments
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