To make the best use of your time during our meeting, please complete this short survey - it only takes 2 minutes. Completing the survey confirms the meeting in our system, so let me know if you have any questions or problems completing it. Start 1 2 3 4 5 6 7 8 Welcome to Worry-Free Floor Care Service in Kansas City Advanced 360 Total Floor Care Systems Take The Floor Assessment to Design your Floor Start Assessment Full Name Contact Number Email Address Select Area -- Select an Area -- Breakroom Mechanical Walkway Safety Stripes Boiler Room Dock Battery Station Production Floor Freezer Storage Room Locker Room Stairs Restroom Lab Other Heavy-Duty Epoxy: Forklift Rated Which scenario best represents your current operation? Foot, Cart & General Forklift Traffic Only Heavy Loads/Aggressive Traffic Heavy-Duty Epoxy: Mechanical Room Will your floor be subject to frequent impact from heavy or sharp objects? Yes No Heavy-Duty Epoxy: Mechanical Shop & Lab Will aggressive chemicals or solvents come in contact with the floor? Yes, Aggressive Chemicals and/or Solvents None, or Mild Chemicals Heavy-Duty Epoxy: Food & Beverage Will the floor area be exposed to hot and cold wash downs, or extreme temperature fluctuations? Yes No Heavy-Duty Epoxy: Electrostatic Discharge (ESD) Is static-control, or ESD, a concern in your daily operations? Yes No Heavy-Duty Epoxy: Color Flakes Which scenario best represents the current condition of your floor or concrete substrate? Currently Coated, but Ugly or Hard to Clean Existing Coating is Peeling or Bubbling Bare Concrete with Light Pitting/Small Cracks Concrete has Major Cracks, Voids or Damage Heavy -Dusty Epoxy: Color Quartz What kind of look do you want to achieve with your floor? Solid Colors Decorative Thank You! Congratulations, Your form has been submitted successfully, your Facility Service Consultants will follow up with you within 12 hours check your email for further information. Submit Another Form Back Next Step Take an Assessment to know at which stage your floor is now. Name Contact Number Email Which scenario best represents your current operation? Foot, Cart & General Forklift Traffic Only Heavy Loads/Aggressive Traffic Will your floor be subject to frequent impact from heavy or sharp objects? Yes No Will aggressive chemicals or solvents come in contact with the floor? Yes, Aggressive Chemicals and/or Solvents None, or Mild Chemicals Will the floor area be exposed to hot and cold wash downs, or extreme temperature fluctuations? Yes No Is static-control, or ESD, a concern in your daily operations? Yes No Which scenario best represents the current condition of your floor or concrete substrate? Currently Coated, but Ugly or Hard to Clean Existing Coating is Peeling or Bubbling Bare Concrete with Light Pitting/Small Cracks Concrete has Major Cracks, Voids or Damage What kind of look do you want to achieve with your floor? Solid Color(s) Decorative Submit Please enable JavaScript in your browser to complete this form.Type of Services *Initial TreatmentRestorationMaintenanceType of Surfaces *Type of SurfacesCeramicConcreteEpoxyTerrazzoGraniteLimestoneMarbleTravertineFloor SQ FT *Estimated Budget--$500 - $1000$1001 - $3000$3001 - $5000$5001 and AboveAdditional Information Name *CompanyEmail *Phone *City / Town *State *--MOKSZip Code *Submit