Boss Lead Capture Survey
Do you have an active leak?
Yes
No
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Where is your leak coming from?
Roofing
Siding
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Is your roof 15 years or older?
Yes
No
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Are you going to sell your home In the near future?
Yes
No
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Do you think your roof needs repaired or replaced?
Repair
Replace
Unsure
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Is the leak a result of storm damage?
Yes
No
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Is your roof 15 years or older?
Yes
No
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Is there visible siding damage or deterioration?
Yes
No
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What is your contact info?
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Address
Address Line 1
City
State
Zip Code
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