If you are requesting a FREE termite inspection, please complete the short form below.

             
   

When would you like to schedule your inspection?

 

      
Date 1:
 Time:

      
Date 2:
 Time:

      
Best time to call:

 

Contact Information:

 

  * Name:

 * Email:

   Phone:

     Fax:

  

*Address:

  * City:

 * State:
 Currently Serving Georgia Clients Only

   * Zip:

             
 

What type of construction is your home?

      
Basement
Crawl Space
Slab Construction

      
 

How old is your home?

      
# Years:

      
 

Have you found termites in your home?

      
Yes
No
Don't Know

      
 

Does your home have a stucco finish?

      
Yes
No

  
      
If yes, what type of stucco finish?

      
Masonry
Synthetic

 
 
What type of foundation does your home have?

  
      
Block

      
Block with Brick Veneer

      
Poured Wall

      
Poured Wall with Brick Veneer

      
Other:

      
 

What is the total distance around the outside perimeter of your home?

      
Perimeter Distance:

      
 

Does the foundation of your home have any adjoining slabs
connecting to the home?
(check all that apply)


  
      
Front Porch
 - Length:
 X Width:

      
Patio
       - Length:
 X Width:

      
Walkway
     - Length:
 X Width:

      
Carport
     - Length:
 X Width:

      
 

Does your home have an attached, enclosed garage area?

      
Yes
No

      
If yes, what are it's dimensions? 
 Length:   Width:

      
 

Do you have any wooden porches or decks attached to your home?

      
Yes
No

What are the dimensions of the decks/porches?

      
      

If yes, are the decks/porches built with pressure treated materials?
                    
Yes
No

      
 

If your home is of a crawl space construction:

 
      
Crawl space is accessible for inspection or 18" off the ground.

      
How many foundation vents are installed in your foundation?

      
 

If your home is of a basement type of construction:

 
      
My basement has a floor covering
* Type:

      
My basement has a wall covering

      
My basement has a sheet rock or drop ceiling

      
 

If your home is of a slab type of construction:

      
Slab type: 
Monolythethic
Supported
Floating
Don't Know

      
 

What types of floor coverings does your home have?

      
Types:

      
 

             
Driving Directions to Your Home:

   

             
Please contact me ASAP regarding this matter.

             
                  

             
                   


Daniel & Lawson Pest Control
Call Today: 770-735-4707
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