Roofing / Waterproofing Questionnaire

Please fill out the following as accurately as possible

Approximate age of existing roofing system in years.
Approximate age of existing waterproofing system years.
Approximately how long has it been since problem areas were inspected?
Approximate square footage of roofing / waterproofing system.
Existing application is composed of: Bitumen Membrane Other
Existing application is: Horizontal Vertical
Has an inspection been performed for either roofing or waterproofing? Yes No
Is the present roofing/waterproofing system under a manufacturer's warranty or guarantee? Yes No
If yes, which manufacturer
How would you rate your roofing/waterproofing system? (Use 1-10 with 10 being the best).
What type of roofing / waterproofing system do you presently have?

Name
Title
Company Name
Street Address
City State Zip
Phone Fax
Email