1
Choose an option*
A
BUY: Request a quote
B
SUPPORT: Submit a support ticket
C
UPGRADE: Request an upgrade
D
GENERAL: General inquiry
E
FEEDBACK: Service call feedback
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2
What is your first name?*
And What is your last name?*
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3
What is the best email address to contact you with?*
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4
What is the best phone number to reach you at?*
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5
What is the residence or site address?*
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6
How urgent is this?*
A
Not urgent
B
Minor inconvenience
C
Immediate response required
D
All hands on deck
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7
Is your project new home construction or retrofitting for an existing home or site?*
A
New construction
B
Existing home or site (retrofit)
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8
Which best describes your property?*
A
Single family residence
B
Condominium
C
Townhome
D
Commercial property
D
Other
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9
What is the approximate square footage of your
Which best describe your property? X *
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10
Thank you for taking the time to reach out to us. What can we help you with today?*
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11
Which technician completed your service call?*
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12.
Select the relevant solutions*
Scroll down to see more options.
Smart Home OS
Voice Control
One App Control
Universal Remotes
Touchscreens
Lighting & Lighting Control
Automated Shades
Multi-Room Audio & Video
Climate Control
Security System
Networking
Surveillance
Home Theater
Landscape Automation
Pool & Spa Integration
Other
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13
Please describe the problem you are experiencing with
Please select the relevant solutions X *
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14
Do you have any smart technology or smart home devices that you have purchased yourself that you might want integrated?*
Y
Yes
N
No
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15
Please describe the brands and the devices.*
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16
How soon are you expecting our service?*
A
ASAP
B
In the next few weeks
D
In the next few months
E
Other
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17
How did you hear about Upscalent?
A
Referral by real
estate agent or
other business
B
Word of mouth
C
LinkedIn
D
Mail Ad
E
Email
F
Search Engine
G
Google Ads
H
Other
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18
What is the email address of the real estate agent or name of the company that referred you?*
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19
Do any of the following services describe the service you receive?*
Choose as many as you like
A
Wiring
B
Troubleshooting
C
Other
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20
Were you satisfied with the work your Upscalent technician provided you today?*
Y
Yes
N
No
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21
How would you rate the technician's service?*
0
1
2
3
4
5
Poor
Excellent
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22
How likely are you to recommend us to a friend or colleague?*
0
1
2
3
4
5
6
7
8
9
10
Not likely at all
Extremely likely
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23
We strive to provide the best customer experience and appreciate any other feedback you may have.
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24
Any other concerns, questions, comments?
Submit
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