Selecting a frost heave prevention method for cold storage facilities focuses on the issue of frost heave, the prevention methods available, and the builders' preferences when it comes to applying those methods, dependent on the region and size of the freezer. To achieve these objectives, qualitative data was collected through literature review and individual telephone interviews. Builders from across the continental United States were selected, vetted, and interviewed. The structured interviews were conducted to secure professional opinions on which frost heave prevention method would be best utilized within a given square foot size range. The interview responses were analyzed, along with region data on average winter temperatures and frost depth, to discern the best prevention option. The data analysis revealed a conceptual decision matrix for selecting the industry preferred prevention method within a given set of variables. Recommendations were provided based on additional thematic data points for further research to support or augment the decision matrix created in this research study.