04 OF 08
Fixtures & Specialty Materials
Required
What types of fixtures and sinks are present throughout your home?
Select all that apply.
Acrylic|Ceramic|Glass|Porcelain|Stainless Steel|Stone|Other
Please specify
Please select at least one fixture or sink material.
If known, what are the brands or manufacturers of your fixtures or sinks?
Are there any specialty surfaces or materials throughout your home that HER should be aware of?
Select all that apply.
Delicate Finishes|Natural Stone|Specialty Glass|Unsealed Surfaces|Other
Please specify
Please select at least one option.
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06 OF 08
Upholstery & Rugs
Optional
What types of upholstered furniture are present throughout your home?
Select all that apply.
Armchairs|Benches|Dining Chairs|Ottomans|Sectionals|Sofas|Other
Please specify
What upholstery textures or materials are present?
Select all that apply.
Chenille|Cotton|Leather|Linen|Microfiber|Velvet|Other
Please specify
If known, please provide the brand or manufacturer of your upholstered furniture.
What types of rugs are present throughout your home?
Select all that apply.
Area Rugs|Handwoven Rugs|Machine-Made Rugs|Natural Fiber Rugs|Oriental / Persian Rugs|Outdoor Rugs|Shag Rugs|Wool Rugs|Other
Please specify
If known, please provide the brand or manufacturer of your rugs.
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08 OF 08
Existing Damage or Surface Concerns
Optional
Please identify any existing damage, discoloration, staining, scratches, etching, wear, deterioration, or other condition that may be present on a surface before HER service.
Where is the existing damage or surface concern located?
Please describe the existing damage or surface concern.
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