{"product_id":"chimney-client-intake-form","title":"Client Intake Form (Core) - Chimney Cleaning, Inspection and Repair","description":"\u003ch2 data-section-id=\"15lu4vb\" data-start=\"233\" data-end=\"294\" style=\"text-align: center;\"\u003eChimney Cleaning, Inspection \u0026amp; Repair Client Intake Form\u003c\/h2\u003e\n\u003cp data-start=\"295\" data-end=\"391\" style=\"text-align: center;\"\u003e\u003cstrong data-start=\"295\" data-end=\"391\"\u003eProfessional Lead Qualification, Safety Discovery \u0026amp; Pre-Service System (Editable PDF + Word)\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-start=\"393\" data-end=\"477\"\u003eGather the right details.\u003cbr data-start=\"418\" data-end=\"421\"\u003eIdentify real risks.\u003cbr data-start=\"441\" data-end=\"444\"\u003eClose better, safer chimney jobs.\u003c\/p\u003e\n\u003chr data-start=\"479\" data-end=\"482\"\u003e\n\u003cp data-start=\"484\" data-end=\"541\"\u003eMost chimney service jobs don’t go wrong during the work…\u003c\/p\u003e\n\u003cp data-start=\"543\" data-end=\"584\"\u003eThey go wrong before the job even starts.\u003c\/p\u003e\n\u003cp data-start=\"586\" data-end=\"670\"\u003eA quick phone call.\u003cbr data-start=\"605\" data-end=\"608\"\u003eA vague description.\u003cbr data-start=\"628\" data-end=\"631\"\u003eA rushed estimate based on assumptions.\u003c\/p\u003e\n\u003cp data-start=\"672\" data-end=\"749\"\u003eNo structure.\u003cbr data-start=\"685\" data-end=\"688\"\u003eNo real inspection insight.\u003cbr data-start=\"715\" data-end=\"718\"\u003eNo clear understanding of risk.\u003c\/p\u003e\n\u003cp data-start=\"751\" data-end=\"766\"\u003eAnd the result?\u003c\/p\u003e\n\u003cp data-start=\"768\" data-end=\"954\"\u003e• misdiagnosed chimney issues\u003cbr data-start=\"797\" data-end=\"800\"\u003e• underpriced or incomplete jobs\u003cbr data-start=\"832\" data-end=\"835\"\u003e• unexpected hazards during service\u003cbr data-start=\"870\" data-end=\"873\"\u003e• customer confusion and pushback\u003cbr data-start=\"906\" data-end=\"909\"\u003e• delays, callbacks, and liability exposure\u003c\/p\u003e\n\u003cp data-start=\"956\" data-end=\"992\"\u003eYou don’t need a basic intake sheet.\u003c\/p\u003e\n\u003cp data-start=\"994\" data-end=\"1112\"\u003eYou need a \u003cstrong data-start=\"1005\" data-end=\"1035\"\u003eChimney Client Intake Form\u003c\/strong\u003e that turns every inquiry into a structured, professional service evaluation.\u003c\/p\u003e\n\u003cp data-start=\"1114\" data-end=\"1134\"\u003eThis is that system.\u003c\/p\u003e\n\u003chr data-start=\"1136\" data-end=\"1139\"\u003e\n\u003ch2 data-section-id=\"7fkpke\" data-start=\"1141\" data-end=\"1202\"\u003e🔥 Built for Real Chimney Service Work — Not Generic Forms\u003c\/h2\u003e\n\u003cp data-start=\"1204\" data-end=\"1234\"\u003eChimney work is unpredictable.\u003c\/p\u003e\n\u003cp data-start=\"1236\" data-end=\"1258\"\u003eEvery job can involve:\u003c\/p\u003e\n\u003cp data-start=\"1260\" data-end=\"1481\"\u003e• different fireplace and venting systems\u003cbr data-start=\"1301\" data-end=\"1304\"\u003e• hidden creosote buildup\u003cbr data-start=\"1329\" data-end=\"1332\"\u003e• structural or masonry issues\u003cbr data-start=\"1362\" data-end=\"1365\"\u003e• airflow and drafting problems\u003cbr data-start=\"1396\" data-end=\"1399\"\u003e• water intrusion and deterioration\u003cbr data-start=\"1434\" data-end=\"1437\"\u003e• safety risks that aren’t visible upfront\u003c\/p\u003e\n\u003cp data-start=\"1483\" data-end=\"1526\"\u003eThis intake form is built specifically for:\u003c\/p\u003e\n\u003cp data-start=\"1528\" data-end=\"1678\"\u003e✔ chimney cleaning and sweeping\u003cbr data-start=\"1559\" data-end=\"1562\"\u003e✔ Level 1, 2, and 3 inspections\u003cbr data-start=\"1593\" data-end=\"1596\"\u003e✔ chimney and fireplace repairs\u003cbr data-start=\"1627\" data-end=\"1630\"\u003e✔ venting systems (wood, gas, pellet, furnace)\u003c\/p\u003e\n\u003cp data-start=\"1680\" data-end=\"1781\"\u003eIt mirrors how real chimney professionals gather information \u003cstrong data-start=\"1741\" data-end=\"1781\"\u003ebefore inspection and pricing begin.\u003c\/strong\u003e\u003c\/p\u003e\n\u003cp data-start=\"1783\" data-end=\"1842\"\u003eNot a checklist.\u003cbr data-start=\"1799\" data-end=\"1802\"\u003eA true \u003cstrong data-start=\"1809\" data-end=\"1842\"\u003epre-service discovery system.\u003c\/strong\u003e\u003c\/p\u003e\n\u003chr data-start=\"1844\" data-end=\"1847\"\u003e\n\u003ch2 data-section-id=\"yfw52a\" data-start=\"1849\" data-end=\"1909\"\u003e👤 Client \u0026amp; Property Information That Sets the Foundation\u003c\/h2\u003e\n\u003cp data-start=\"1911\" data-end=\"1964\"\u003eProfessional service starts with professional intake.\u003c\/p\u003e\n\u003cp data-start=\"1966\" data-end=\"1985\"\u003eThis form captures:\u003c\/p\u003e\n\u003cp data-start=\"1987\" data-end=\"2094\"\u003e✔ full client contact details\u003cbr data-start=\"2016\" data-end=\"2019\"\u003e✔ service address and property type\u003cbr data-start=\"2054\" data-end=\"2057\"\u003e✔ occupancy status and property age\u003c\/p\u003e\n\u003cp data-start=\"2096\" data-end=\"2188\"\u003eFrom the first interaction—you position yourself as organized, credible, and safety-focused.\u003c\/p\u003e\n\u003chr data-start=\"2190\" data-end=\"2193\"\u003e\n\u003ch2 data-section-id=\"1a4sd7v\" data-start=\"2195\" data-end=\"2252\"\u003e🔥 Chimney \u0026amp; Fireplace Details (Critical for Accuracy)\u003c\/h2\u003e\n\u003cp data-start=\"2254\" data-end=\"2314\"\u003eNot all systems are the same—and guessing leads to mistakes.\u003c\/p\u003e\n\u003cp data-start=\"2316\" data-end=\"2344\"\u003eThis intake form identifies:\u003c\/p\u003e\n\u003cp data-start=\"2346\" data-end=\"2532\"\u003e✔ fireplace or appliance type (wood, gas, pellet, stove, furnace venting)\u003cbr data-start=\"2419\" data-end=\"2422\"\u003e✔ number of chimneys\u003cbr data-start=\"2442\" data-end=\"2445\"\u003e✔ chimney location (interior, exterior, or both)\u003cbr data-start=\"2493\" data-end=\"2496\"\u003e✔ last cleaning or inspection date\u003c\/p\u003e\n\u003cp data-start=\"2534\" data-end=\"2618\"\u003eYou walk into the job informed—not guessing.\u003c\/p\u003e\n\u003chr data-start=\"2620\" data-end=\"2623\"\u003e\n\u003ch2 data-section-id=\"w3ee4n\" data-start=\"2625\" data-end=\"2687\"\u003e⚠️ Current Issues \u0026amp; Warning Signs (Where Real Jobs Are Won)\u003c\/h2\u003e\n\u003cp data-start=\"2689\" data-end=\"2754\"\u003eThis is where you uncover the real opportunity—and the real risk.\u003c\/p\u003e\n\u003cp data-start=\"2756\" data-end=\"2775\"\u003eThis form captures:\u003c\/p\u003e\n\u003cp data-start=\"2777\" data-end=\"3028\"\u003e✔ smoke backing into the home\u003cbr data-start=\"2806\" data-end=\"2809\"\u003e✔ strong odors from chimney\u003cbr data-start=\"2836\" data-end=\"2839\"\u003e✔ poor draft performance\u003cbr data-start=\"2863\" data-end=\"2866\"\u003e✔ visible creosote buildup\u003cbr data-start=\"2892\" data-end=\"2895\"\u003e✔ water leaks or moisture issues\u003cbr data-start=\"2927\" data-end=\"2930\"\u003e✔ cracked masonry or structural damage\u003cbr data-start=\"2968\" data-end=\"2971\"\u003e✔ missing chimney cap\u003cbr data-start=\"2992\" data-end=\"2995\"\u003e✔ animal intrusion or blockages\u003c\/p\u003e\n\u003cp data-start=\"3030\" data-end=\"3065\"\u003eYou’re not just cleaning a chimney…\u003c\/p\u003e\n\u003cp data-start=\"3067\" data-end=\"3159\"\u003eYou’re diagnosing a system—and pricing it correctly.\u003c\/p\u003e\n\u003chr data-start=\"3161\" data-end=\"3164\"\u003e\n\u003ch2 data-section-id=\"i51dyh\" data-start=\"3166\" data-end=\"3217\"\u003e🧰 Service Request Breakdown (No More Guesswork)\u003c\/h2\u003e\n\u003cp data-start=\"3219\" data-end=\"3257\"\u003eStop assuming what the customer wants.\u003c\/p\u003e\n\u003cp data-start=\"3259\" data-end=\"3307\"\u003eThis intake form allows you to clearly identify:\u003c\/p\u003e\n\u003cp data-start=\"3309\" data-end=\"3492\"\u003e✔ inspection level requested (Level 1, 2, or 3)\u003cbr data-start=\"3356\" data-end=\"3359\"\u003e✔ cleaning services needed\u003cbr data-start=\"3385\" data-end=\"3388\"\u003e✔ creosote removal level\u003cbr data-start=\"3412\" data-end=\"3415\"\u003e✔ repair work (cap, crown, flashing, masonry, liner, damper, waterproofing)\u003c\/p\u003e\n\u003cp data-start=\"3494\" data-end=\"3602\"\u003eEverything is selected and documented before you ever quote the job.\u003c\/p\u003e\n\u003chr data-start=\"3604\" data-end=\"3607\"\u003e\n\u003ch2 data-section-id=\"1y4yj3j\" data-start=\"3609\" data-end=\"3671\"\u003e🏠 Access \u0026amp; Safety Information (Eliminate On-Site Problems)\u003c\/h2\u003e\n\u003cp data-start=\"3673\" data-end=\"3715\"\u003eChimney work comes with real safety risks.\u003c\/p\u003e\n\u003cp data-start=\"3717\" data-end=\"3737\"\u003eThis form documents:\u003c\/p\u003e\n\u003cp data-start=\"3739\" data-end=\"3839\"\u003e✔ roof access availability\u003cbr data-start=\"3765\" data-end=\"3768\"\u003e✔ roof type and height\u003cbr data-start=\"3790\" data-end=\"3793\"\u003e✔ pets on property\u003cbr data-start=\"3811\" data-end=\"3814\"\u003e✔ known safety concerns\u003c\/p\u003e\n\u003cp data-start=\"3841\" data-end=\"3937\"\u003eNo surprises.\u003cbr data-start=\"3854\" data-end=\"3857\"\u003eNo unsafe conditions.\u003cbr data-start=\"3878\" data-end=\"3881\"\u003eNo wasted trips.\u003c\/p\u003e\n\u003chr data-start=\"3939\" data-end=\"3942\"\u003e\n\u003ch2 data-section-id=\"kbv8fv\" data-start=\"3944\" data-end=\"4004\"\u003e📋 Authorization to Inspect (Protect Your Business Early)\u003c\/h2\u003e\n\u003cp data-start=\"4006\" data-end=\"4057\"\u003eProfessional chimney companies document everything.\u003c\/p\u003e\n\u003cp data-start=\"4059\" data-end=\"4078\"\u003eThis form includes:\u003c\/p\u003e\n\u003cp data-start=\"4080\" data-end=\"4197\"\u003e✔ client authorization to perform inspection\u003cbr data-start=\"4124\" data-end=\"4127\"\u003e✔ acknowledgment of requested services\u003cbr data-start=\"4165\" data-end=\"4168\"\u003e✔ signature and date fields\u003c\/p\u003e\n\u003cp data-start=\"4199\" data-end=\"4329\"\u003eThis protects you before the job even begins—and sets the tone for a professional process.\u003c\/p\u003e\n\u003chr data-start=\"4331\" data-end=\"4334\"\u003e\n\u003ch2 data-section-id=\"wl6rha\" data-start=\"4336\" data-end=\"4358\"\u003e📄 What You Receive\u003c\/h2\u003e\n\u003cp data-start=\"4360\" data-end=\"4456\"\u003e✔ Chimney Client Intake Form (Fillable PDF)\u003cbr data-start=\"4403\" data-end=\"4406\"\u003e✔ Chimney Client Intake Form (Editable Word .docx)\u003c\/p\u003e\n\u003cp data-start=\"4458\" data-end=\"4500\"\u003eCustomize it once.\u003cbr data-start=\"4476\" data-end=\"4479\"\u003eUse it on every lead.\u003c\/p\u003e\n\u003chr data-start=\"4502\" data-end=\"4505\"\u003e\n\u003ch2 data-section-id=\"jlsssh\" data-start=\"4507\" data-end=\"4528\"\u003e🎯 Who This Is For\u003c\/h2\u003e\n\u003cp data-start=\"4530\" data-end=\"4542\"\u003ePerfect for:\u003c\/p\u003e\n\u003cp data-start=\"4544\" data-end=\"4722\"\u003e• chimney cleaning companies\u003cbr data-start=\"4572\" data-end=\"4575\"\u003e• chimney inspection professionals\u003cbr data-start=\"4609\" data-end=\"4612\"\u003e• chimney repair contractors\u003cbr data-start=\"4640\" data-end=\"4643\"\u003e• fireplace and venting specialists\u003cbr data-start=\"4678\" data-end=\"4681\"\u003e• masonry and restoration professionals\u003c\/p\u003e\n\u003cp data-start=\"4724\" data-end=\"4779\"\u003eIf you service chimneys—this should be your first step.\u003c\/p\u003e\n\u003chr data-start=\"4781\" data-end=\"4784\"\u003e\n\u003ch2 data-section-id=\"1c2xxzy\" data-start=\"4786\" data-end=\"4831\"\u003e📈 Why Better Intake = Better Chimney Jobs\u003c\/h2\u003e\n\u003cp data-start=\"4833\" data-end=\"4861\"\u003eStructured intake helps you:\u003c\/p\u003e\n\u003cp data-start=\"4863\" data-end=\"5059\"\u003e✔ identify real issues before arrival\u003cbr data-start=\"4900\" data-end=\"4903\"\u003e✔ reduce misdiagnosis and callbacks\u003cbr data-start=\"4938\" data-end=\"4941\"\u003e✔ price jobs more accurately\u003cbr data-start=\"4969\" data-end=\"4972\"\u003e✔ avoid unsafe job conditions\u003cbr data-start=\"5001\" data-end=\"5004\"\u003e✔ increase customer trust\u003cbr data-start=\"5029\" data-end=\"5032\"\u003e✔ close higher-value work\u003c\/p\u003e\n\u003cp data-start=\"5061\" data-end=\"5096\"\u003eWhen you gather better information…\u003c\/p\u003e\n\u003cp data-start=\"5098\" data-end=\"5158\"\u003eYou inspect better.\u003cbr data-start=\"5117\" data-end=\"5120\"\u003eYou quote better.\u003cbr data-start=\"5137\" data-end=\"5140\"\u003eYou operate safer.\u003c\/p\u003e\n\u003chr data-start=\"5160\" data-end=\"5163\"\u003e\n\u003ch2 data-section-id=\"3z5ddp\" data-start=\"5165\" data-end=\"5203\"\u003e⚔️ Stop Guessing Before You Inspect\u003c\/h2\u003e\n\u003cp data-start=\"5205\" data-end=\"5230\"\u003eThis industry is full of:\u003c\/p\u003e\n\u003cp data-start=\"5232\" data-end=\"5299\"\u003eIncomplete information.\u003cbr data-start=\"5255\" data-end=\"5258\"\u003eUnexpected hazards.\u003cbr data-start=\"5277\" data-end=\"5280\"\u003eUnderpriced jobs.\u003c\/p\u003e\n\u003cp data-start=\"5301\" data-end=\"5348\"\u003eYour intake process should eliminate all of it.\u003c\/p\u003e\n\u003cp data-start=\"5350\" data-end=\"5364\"\u003eThis one does.\u003c\/p\u003e\n\u003chr data-start=\"5366\" data-end=\"5369\"\u003e\n\u003ch2 data-section-id=\"3ezovl\" data-start=\"5371\" data-end=\"5426\"\u003e🥷 Build a More Professional, Safer Chimney Business\u003c\/h2\u003e\n\u003cp data-start=\"5428\" data-end=\"5476\"\u003eIf you’re serious about running a business that:\u003c\/p\u003e\n\u003cp data-start=\"5478\" data-end=\"5611\"\u003e• identifies problems early\u003cbr data-start=\"5505\" data-end=\"5508\"\u003e• reduces risk and liability\u003cbr data-start=\"5536\" data-end=\"5539\"\u003e• controls the service process\u003cbr data-start=\"5569\" data-end=\"5572\"\u003e• and consistently closes better jobs\u003c\/p\u003e\n\u003cp data-start=\"5613\" data-end=\"5669\"\u003eThis intake form gives you the structure to do it right.\u003c\/p\u003e\n\u003cp data-start=\"5671\" data-end=\"5747\"\u003eAsk better questions.\u003cbr data-start=\"5692\" data-end=\"5695\"\u003eControl the job before it starts.\u003cbr data-start=\"5728\" data-end=\"5731\"\u003eWin better work.\u003c\/p\u003e\n\u003chr data-start=\"5749\" data-end=\"5752\"\u003e\n\u003cp data-start=\"5754\" data-end=\"5904\" data-is-last-node=\"\" data-is-only-node=\"\"\u003e\u003cstrong data-start=\"5754\" data-end=\"5904\" data-is-last-node=\"\"\u003eDownload it, implement it, and turn more chimney cleaning, inspection, and repair inquiries into organized, accurate, and profitable service jobs.\u003c\/strong\u003e\u003c\/p\u003e","brand":"My Business Ninja","offers":[{"title":"Default Title","offer_id":48497148920063,"sku":null,"price":15.0,"currency_code":"USD","in_stock":true}],"thumbnail_url":"\/\/cdn.shopify.com\/s\/files\/1\/0785\/5207\/2447\/files\/ClientIntakeForm_eb08b575-d0da-4f35-89c2-b027a0805adf.png?v=1778293333","url":"https:\/\/mybusinessninja.net\/products\/chimney-client-intake-form","provider":"My Business Ninja","version":"1.0","type":"link"}