Business Name *

First Name *

Last Name *

Email *

Cell Phone *

Address *

Street Address

City

State

Postal code

How many hoods do you have and how long are each? (Ex. 3 hoods - 8', 9', 12') *

Does the vent duct go straight up to the roof? *

Yes

Unsure

Other

Does your system have any horizontal ductwork or duct access panels?

Yes

How many fans does your system have? *

When was the last time it was cleaned by a professional hood cleaner? *

<3 months

3 months - 1 year

1+ years

N/A - New Business

How often are you having it cleaned now? *

Monthly

Quarterly

Semi-Annually

Annually

"As-Needed"

Unsure

N/A

Would you like us to deep clean your filters? *

Yes

($14/filter)

If so, how many filters does your hood(s) have?

Please upload a clear picture of the full length of the hood, the equipment below, and all filters overhead. *

PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF

Last Service Date

Who was your previous/current hood cleaner?

Please share why you're looking for a new hood cleaner. Bad customer service, no-shows, poor service quality, price, etc?

Were you referred to HOODZ by another business or a member of our staff? *

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