Questionnaire

Name(Required)

First Last

Phone(Required)

E-mail(Required)

House address(Required)

Street Address Address Line 2 City Province Postal Code

How many bedrooms does the house have?(Required)

How many bathrooms / shower rooms are there?(Required)

How many kitchens are there?(Required)

Is the basement finished?(Required)

Is there a full-height basement?(Required)

Is there any work to be done on the roof?(Required)

Are there any problems with the foundation?(Required)

What is the condition of the windows?(Required)

Are there any problems with the electricity?(Required)

Are there any problems with the plumbing?(Required)

Other relevant information: