Surface Republic Selections Systems

Professional Flooring & Design Questionnaire - Layout 3 Hybrid

🎯 Combining comprehensive data collection with modern interface design

1. Basic Information ▼

Job Name *

Customer Name *

Customer Email *

Customer Phone *

2. Staff Information ▼

Salesperson Email *

CC Emails (comma separated)

3. Project Configuration ▼

Project Type *

Commercial

Residential

Tax Status *

Taxable

Non-Taxable

Product Selections ES#

AF Number

4. Scope Selection ▼

Select all scopes that apply to this project. Each selected scope will create a detailed section for product specifications.

🏠

Residential and commercial carpet installations

Include Carpet Scope

🪵

Hardwood, laminate, vinyl, and engineered flooring

Include Hard Surface Scope

🏺

Ceramic, porcelain, and natural stone floor tiles

Include Floor Tile Scope

🪨

Granite, quartz, and other countertop materials

Include Counter Tops Scope