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(450) 809-1414
Questionnaire
Name
(Required)
First
Last
Phone
(Required)
E-mail
(Required)
House address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
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)
Yes
No
Is there a full-height basement?
(Required)
Yes
No
Is there any work to be done on the roof?
(Required)
Yes
No
Are there any problems with the foundation?
(Required)
Yes
No
What is the condition of the windows?
(Required)
Are there any problems with the electricity?
(Required)
Yes
No
Are there any problems with the plumbing?
(Required)
Other relevant information: