Install Mavens Appointment Request Form

Appointment Request | Install Mavens

Request Your Appointment

Tell us what you need and we'll get right back to you.

Installing Independence. Ensuring Safety.

Your Details

First Name *

Last Name *

Email *

Phone *

Service Street Address *

Unit / Suite #

City *

State *

Zip Code *

Customer Type *

Property Type

How did you hear about us?

Do you require an assessment prior to installation?

Yes No Not Sure

Urgency *

Preferred Date

Alternate Date

Preferred Time Window

Is someone home during the visit?

Yes, I / someone will be home No — will arrange key access

Access Notes

Anything else we should know?

What Service Do You Need?

Pick one or more. Only the questions for what you choose will appear below — no endless scrolling.

Grab Bar InstallationToilet Installation – Comfort Height / ADAShower Seat InstallationLever / Door Hardware ConversionThreshold or Ramp InstallationCabinet Lowering / ModificationBathroom ModificationKitchen ModificationEntire Home ModificationPlumbing Installation or RepairLighting InstallationCeiling Fan InstallationTV MountingGas Appliance Installation or RepairADA Compliance AuditHome Safety AssessmentEmergency Modification (24–48 hr)Other / General Installation

A Few Details

These questions match the services you selected.

Grab Bar Installation

How many grab bars do you need? *

Grab bar mounting surface *

Grab bar style preference

Will you supply your own grab bars?

Yes No

Toilet Installation – Comfort Height / ADA

How many toilets? *

Toilet type desired *

Toilet add-ons

Bidet seat Safety frame Raised seat None

Remove & dispose of old toilet?

Yes No

Shower Seat Installation

How many shower seats? *

Shower seat type *

Shower seat material

Shower wall surface *

Lever / Door Hardware Conversion

How many doors / handles? *

Door hardware needed *

Lever handles Smart lock Deadbolt Video doorbell Accessible peephole Door closer

Do you need any doorways widened?

Yes No

Target doorway width (if widening)

Threshold or Ramp Installation

Type of ramp / threshold needed *

Threshold ramp (single doorway) Threshold ramps (2+ doorways) Modular ramp Permanent wood ramp Handrails

How many doorways / entries?

Approx. height / rise to overcome

Indoor or outdoor?

Cabinet Lowering / Modification

Which room for cabinet work? *

How many cabinets?

Cabinet modifications needed *

Lower cabinets Pull-down shelving Toe-kick removal for wheelchair

Bathroom Modification

How many bathrooms? *

Bathroom modifications needed *

Walk-in shower conversion Walk-in tub Slip-resistant flooring Accessible sink / vanity Transfer bench Handheld shower head Anti-scald valve Lever faucet Tilting mirror Touchless faucet

Bathroom layout notes

Kitchen Modification

Kitchen modifications needed *

Full accessibility conversion Roll-under sink Lever faucet Anti-scald valve Front-control cooktop Accessible wall oven Drawer microwave D-pull hardware Multi-level countertop Contrast edge strips Task lighting Outlet relocation Pull-down shelving Slide-out drawers

Kitchen layout notes

Entire Home Modification

Which areas need modification? *

Bathroom(s) Kitchen Entryways & doors Stairs & ramps Lighting General safety

Who is this modification for?

Mobility aids used

Wheelchair Walker Cane Scooter None Prefer not to say

Project timeline / budget notes

Plumbing Installation or Repair

Plumbing service needed *

Faucet replacement Sink install Sink + faucet combo Garbage disposal - new Garbage disposal - replacement Leaky faucet repair Clogged drain Water heater - tank Water heater - tankless Water heater repair

Is there an active leak or water emergency?

Yes No

Lighting Installation

Lighting type needed *

Ceiling fixture Recessed cans Under-cabinet Outdoor Vanity Chandelier (high ceiling) Motion sensor Smart switch Dimmer Pathway nightlights

How many fixtures / switches?

New wiring or replacing existing?

Ceiling Fan Installation

How many ceiling fans? *

New install or replacement? *

Is the ceiling over 10 ft high?

Yes No

Is fan wiring already in place?

TV Mounting

How many TVs? *

TV size *

TV wall type *

TV mounting add-ons

In-wall cable management Soundbar mount

Gas Appliance Installation or Repair

🚨 Stop — please put your safety first. If you smell gas right now, leave the area immediately, then call 911, then Atlanta Gas Light 877-427-4321. Do not submit this form until it is safe.

Do you smell gas or suspect a leak right now? *

Yes No

Gas request type *

Gas service needed *

Gas stove Gas dryer Gas water heater Gas tankless water heater Gas fireplace Gas range Gas line install Gas leak diagnostic Safety inspection

Fuel type *

Is a gas line already present?

ADA Compliance Audit

Property type for audit *

How many units?

Need a written compliance report?

Yes No

Reason for audit

Home Safety Assessment

Assessment format *

Who is the assessment for?

Primary safety concerns

Mobility aids used

Wheelchair Walker Cane Scooter None

Emergency Modification (24–48 hr)

Describe the emergency *

Is this a hospital discharge?

Yes No

Needed by (date & time)

Emergency modification type *

Grab bars Ramp / threshold Toilet Shower seat Other

Other / General Installation

Describe what you need *

Hourly handyman or defined project?

Small electrical / safety add-ons

GFCI outlet Outlet relocation Switch relocation Smoke detector CO detector Combo smoke+CO USB outlet

Stay in the Loop

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⚠️ Smell gas? Leave the area now — then call 911, then Atlanta Gas Light 877-427-4321. Please don't submit this form while you suspect a leak.

Prefer to talk? Call (470) 229-2285 · info@installmavens.com

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