Upkeeper Corporation World Headquarters PO Box 23480 Charlotte NC, 28227 USA.
US Toll Free: 1-800-451-3466 International: (01) 704-545-7040 Email Id: email@example.com
purpose of this questionnaire is to collect general information about
your specific cleaning needs. This will enable our Application
Specialists to correctly assess your problem and offer you a cost
effective practical solution for your consideration.Our pledge is to
properly serve your needs.
Where or How did you hear about us?
What is the nature of your company's business?
Approximate Square Footage of Area to be Cleaned
Type of equipment currently used or have tried
What areas are you most concerned about cleaning?
Type of Floor:
How Accessible are the areas?
What type of debris do you need to collect?
Please note physical properties of debris:(choose as many as apply)
Dry |Type of Debris: Debris Size:
Temperature of Debris or equipment to be cleaned.
Other Characteristics:(Please List):
If you collected the debris for 1 day, how much would you accumulate?
Less Than 5 Gallons
About a 5 Gallon Bucket Full
More Than 5 Gallons, But Less Than 55 Gallons
About A 55 Gallon Drum Full
More Than 55 Gallons
How often do you normally clean the area or remove the debris?