Leak Detection Information Form - Riviera Pools of Dallas

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Leak Detection Questionnaire

Are You a Weekly Service Customer?

Yes No

Name

Email

Phone Number

Address

City

State

Zip

Pool Information

Do you have a pool spa or pool only?

If you have a pool/spa, are you losing water in both bodies of water?

Size of Pool in Gallons

How much water are you losing per day?

How much water are you losing while the equipment is running?

Less than 1 Inch 1-2 Inches 2-3 Inches 3-4 Inches 4-5 Inches 5-6 Inches 6 Inches +

How much water are you losing while the equipment is off?

Less than 1 Inch 1-2 Inches 2-3 Inches 3-4 Inches 4-5 Inches 5-6 Inches 6 Inches +

What year was your pool built?

Does your pool have any water features? Select all that apply.

Spa Spillway Waterfall Sheer Descent Negative Edge Water Cannon Other

Does your pool have an automatic cleaner?

Yes No Unsure

Does your pool have an autofill?

Yes No Unsure

Have you noticed any wet spots in your yard?

Yes No

Please upload images of your pool and any water features.

Please upload an image of your equipment.