Contact Information:

	Name:		*
	Company Name:		*
	Phone Number:		*
	E-Mail Address:		*

Floor Information:

1. If this is a replacement, why are you changing your floor?
2. What is your present system?
3. Wood thickness?
	25/32"     33/32"
4. Face width of flooring?
	1 1/2"     2 1/4"     3 1/4"
5. Grade of the maple?
	First    Second and Better    Third
6. Do you have a slab depression that you must meet?
	Yes     No
7. What is the overall length and width of the current floor?
	Length:    Width:
8. Is the floor on, below, or above grade?
	On     Below   Above
9. Are there any obstructions that must be dealt with? i.e. center dividing doors, floor plates, bleachers, volleyball sleeves, electrical outlets in the floor, etc.
10. Does the room have a history of water problems?
	Yes     No
11. How is the floor going to be used?
12. If it is for athletics, at what level? (elementary school, town recreation, Jr. High School, Varsity, Intercollegiate, Professional)
13. Rate the Performance Characteristics below to show their importance to your program. (1=not important, 5=most important)
	1 2 3 4 5  Ball Bounce  Area Deflection  Shock Absorption  Energy Return  Rolling Load
Comments: