Step 1
STEP 1
 

CONTACT

 
 

phone 413.232.7061
fax 413.232.7137
info@jjireh.com


 
 

LICENSES

 
 

License #: C5065866
HIC Registration #: 141066


 

 

QUESTIONNAIRE: STEP 1


This questionnaire will lead you through three pages that will help narrow down your specific needs. The results will be sent to us, so that we may assess your project, and you will be able to print out a copy of the results as well, for your own reference.

This questionnaire is meant to be filled out in one sitting, so you may lose data you have entered if you wait several hours between pages.

Step One will ask for basic contact information, as well as information about the site location.

Step Two will ask for more information about the project timeline and budget, as well as your style and color preferences.

Step Three will ask specific questions about the type of project you have in mind, and what you expect to gain from your remodeling project.

Client Contact Information  
   
First Name: Last Name:
   
Residence Street Address:  
   
City: State: ZIP:
   
Home Phone: Work Phone:
   
Cell Phone:  
 
   
 
Job Site Information  
   
Job Site Street Address:  
   
City: State: ZIP: