Client Assessment Form

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Client Assessment Form

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First Name

Last Name

Phone Number

Email

Street Address

City/Town

Postal Code

What needs to be powered?

Basics - a few lights and plugs (no heating or coding appliances) Essentials - Basics + Kitchen Appliances Standard - Essentials + Washers and Dryers Premium - Entire home (one oven, geyser, pool pump and aircon)