New Client Information Form First Name * Required Last Name * Required Home Phone * RequiredMobile Phone * RequiredEmail * Required Subject Address Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code How Did You Hear About Us? What Services Are You Interested In?Select AnswerConsultationRemodelingRestorationDesign-BuildUniversal Design (Aging-In-Place)New ConstructionBrief Project DescriptionWhat Year Was the Home Built? How Long Have You Lived in the Home? How Much Time Have You Spent Considering This Project? What Is Your Anticipated Investment Range?Select Answer15,001 – 30,00030,301 – 75,00075,001 – 150,000150,001 – 250,000250,001 – 500,000Over 500,001Do You Have Architectural Plans or Construction Drawings?Select AnswerYesNoDo You Plan on Living in the Home During Construction?Select AnswerYesNoDo You Have Financing in Place?Select AnswerYesNoDoes Your Neighborhood Have a Home Owners Association or Architectural Review Committee?Select AnswerYesNoDo You Live in a Historical District?Select AnswerYesNoHave You Ever Remodeled Before?Select AnswerYesNoHave You Ever Had a Custom Home Built Before?Select AnswerYesNoList Any Other Contractors Looking at This Project:Write AnswerWhich of the Following Is Most Important to You?Select AnswerQuality of constructionCommunicationSupervisor on Site DailyClean and Safe JobsiteIn-House Employees vs. SubcontractorsProtection From LiabilityWarranty and Follow UpAttention to DetailSchedule and Timely CompletionBudgetWhat Is Your Anticipated Start Date? What Is Your Anticipated Completion Date? Dislikes of Past Projects?Other Areas of Concern By clicking ‘Submit’, you agree to Tier1 Group's Terms of Use and Privacy Policy. You consent to receive phone calls and SMS messages from Tier1 Group to provide updates and information regarding your business with Tier1 Group. Message frequency may vary. Message & data rates may apply. Reply STOP to opt-out of further messaging. Reply HELP for more information. See our Privacy Policy. Δ
