Pre-onboarding questionnaire

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Which type of service do you need? *

Weekly Trash Pickup

Weekly Trash & Recycling Pickup

Weekly Trash & Monthly Recycling Pickup

Monthly Recycling Pickup (1X)

What is the size of your household? *

1-2

3-4

5-6

7+

Are you a senior citizen (60+)? *

Yes

No

Do you own or rent your place of residence? *

Own

Rent

Are you requesting service for a place of business? *

Yes

No

Approximately how many bags of trash do you produce per week? *

1-2

3-4

5-6

7+

Are you looking to obtain service for more than one location? *

Yes

No

When are you looking to start service? *

Immediately

Within the next week

Within the next month

Still to be determined

What is your preferred method of communication? *

Phone

Text

Email

All the above