Floor Care Information Request Home Request Form Floor Care Information Request CompanyName First Last Email PhoneLocation CitySurface typeConcreteTileEpoxyPaversLocationInsideOutApproximate square footageFrequency of cleaningDailyWeeklyMonthlyContinuousPeriodicCurrently using a floor scrubber/sweeperYesNoIf yes, please provide make and model if possibleReplacement unit or additional machineBudget in place for the projectPurchase time frameImmediateNext 30 daysNext 6 monthsJust Looking