What day do you want to move ? (If you're uncertain, list a range of dates in month/day/year order)
What zip code are you moving FROM ?
What floor do you live on?
What zip code are you are moving TO ?
How many boxes (rough estimate) do you have?
How many bedrooms are there in your current location?
Do you have any special requests (do TVs have to mounted to the wall, disassembly of gym equipment, pianos, pool table, etc.)