Today's Date*

Estimate Time

01 02 03 04 05 06 07 08 09 10 11 12 : 00 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 AM PM

Estimate Date

Business Name*

Full Name*

Cell Phone*

Work Phone

Email:*

Address

Project Type*

Single Family
Townhome
Apartment
Commercial

Subfloor Type

Plywood Subfloor
Cement Subfloor

What rooms are you thinking about doing?

Whole House
Family Room
Living Room
Dining Room
Master Bedroom
Bedroom
Kitchen
Bathroom
Laundry Room
Basement
Office
Stairs
Foyer
Loft

Will all homeowners be available for the estimate?*

Yes
No

How much time did you spend on our website?*

5 min. or less
10 min. or less
20 min. or less
Over 20 min.

How did you hear about Mr. Bamboo?*

Online Search
Magazine
Newspaper
Social Media
Word of Mouth
Other

What kind of Bamboo Flooring do you like?*

BamStrand Flooring (Nail Down)
BamLoc Flooring (Floating)

BamStrand Color

None
Natural
Coffee
Auburn
Sedona

BamLoc Color

None
Natural
Coffee
Auburn
Sedona

How many square feet? (Estimate Amount)

When are you planning to have your flooring done?*

Now 1-3 Months Over 4 Months

Comments or Special Notes