Fillable Printable Home Evaluation Data Collection Worksheet
Fillable Printable Home Evaluation Data Collection Worksheet
Home Evaluation Data Collection Worksheet
Customer Name:
Address:
Postal Code:
DWELLING INFORMATION
Foundation TypeProperty AccessDwelling Style
SlabStandard UrbanDetached
CrawlspaceZero ClearanceSemi-Attached
BasementHillsideInside Row TH
Walkout BasementRural AccessEnd Row TH
Pier/SiltDuplex
Hillside/ElevatedTriplex
Year Built:Architecturally Designed:YesNo
Exterior Wall Construction% of DwellingDwelling Type
Concrete Block/Masonry1 Story
Stucco - Wood Frame1 1/2 Story
Brick Veneer - Wood Frame2 Story
Wood/Vinyl Siding - Wood Frame2 1/2 Story
Solid Brick/Masonry3 Story
Stone VeneerBi-Level
Solid Brick/MasonryTri-Level
Solid Stone1 + Wings
1 1/2 + Wings
2 + Wings
Exterior Door Type
Single Solid Wood/Metal
Single Solid w/ 1 Sidelight Panel
Single Solid w/ 2 Sidelight Panels
Double Solid Wood/Metal
Double Solid w/ 1 Sidelight Panel
Double Solid w/ 2 Sidelight Panels
Area in Sq. Ft.Sq. Ft.Exterior Roofing% of RoofInterior Wall Height% of Area
Dwelling AreaAsphalt, Roof Shingles8" Ceilings/Interior Walls
Unfinished Living AreaTar & Gravel Deck9" Ceilings/Interior Walls
Unfinished BasementCedar Shingles, Shakes10" Ceilings/Interior Walls
Finished Attic(s)Clay Tile/Slate
Finished BasementMetal Shingle/Tile
Bonus RoomMetal Pane Roof
Solid Brick
Interior Flooring% Area
Carpet, Nylon Plush
Carpet, Wool
Vinyl Tile
Ceramic Tile
Hardwood
***** PLEASE PLACE "X" IN SMALL BOXES TO INDICATE CHOICE******
HOME EVALUATION DATA COLLECTION WORKSHEET
PLEASE CONTINUE TO NEXT WORKSHEET
ADDITIONAL / UPGRADE FEATURES
QTY UNITQTY UNIT
BathroomsSunrooms/Breezeways
EAFull Bathroom (3 pc)SFSolarium / Sunroom
EAHalf Bathroom (2 pc)SFBreezeway, Open
EAAdditional Shower StallSFBreezeway, Enclosed
EAAdditional Bathroom Fixture
Swimming Pools
Decks / Porches / Patios
Above Ground
SFDeck, Pressure Treated Lumber, Joists 16" OCInground, Vinyl Lined, Metal Sides
SFDeck, Pressure Treated Lumber, Joists 24" OCInground, Vinyl Lined, Concrete Sides
SFDeck, Redwood/Cedar, Joists 16" OCInground, Gunite/Concrete Sides & Bottoms
SFPatio, Poured ConcreteSize: x
SFPatio, Interlocking Bricks
SFPatio, Concrete Tiles
Kitchen Upgrades
SFPorches, OpenEAUpgraded Kitchen Cabinets
SFPorches, EnclosedEASolid Surface Countertops
SkylightsHot Tubs
EASkylight, Fixed 24" x 24"EASoft-Sided Portable Tub
EASkylight, Fixed 24" x 48"EAFree-Standing Hot Tub, Small
EASkylight, Operating 24" x 48"EAFree-Standing Hot Tub, Medium
EAFree Standing Hot Tub, Large
Fireplaces
EABuilt-In Hot Tub, Small
EAFireplace, One StoryEABuilt-In Hot Tub, Medium
EAFireplace, Two StoryEABuilt-In Hot Tub, Large
EAFireplace, Prefabricated
EAWoodstove
Built-Ins
EAFireplace Insert, SteelEARange, 1 Oven
EAFireplace Insert, Cat IronEARange, 2 Ovens
EAFireplace, Direct Vent, 33" - 36"EACounter Top Range, 4 Burner Standard
EAFireplace, Direct Vent, 42" - 46"EACounter Top Range, 4 Burner Griddle
EAFireplace, Direct Vent, Multi-SidedEAMicrowave Oven, Standard
EAMicrowave Oven, Convection
Multi Family Upgrades
EACompactor
EAAdditional KitchenEADeep Freezer, 15 - 23 CF
EAAdditional BathroomEADeep Freezer, 30 CF
EAAdditional Entry & ExitEADehumidifier, 7 liter Capacity
EASeparate Heating UnitEADehumidifier, 15 liter Capacity
EASeparate Electrical ServiceEAWashing Machine
EADryer
Garages / Carports
EARefrigerator, 10 - 12 CF
EAOne Car Attached GarageEARefrigerator, 14 - 16 CF
EATwo Car Attached GarageEARefrigerator, 18 - 20 CF
EAThree Car Attached GarageEARefrigerator, 21 - 29 CF
EAOne Car Detached GarageEAGarbage Disposal
EATwo Car Detached GarageEARange Hood, 30" Wide
EAThree Car Detached GarageEARange Hood, 42" Wide
EAOne Car Built-In GarageEAIce Maker, 6kg per Day
EATwo Car Built-In GarageEAIce Maker, 20 kg per Day
EAThree Car Built-In GarageEAWater Softener, 100 liter Capacity
EAOne Car CarportEAWater Softener, 200 liter Capacity
EATwo Car CarportEADishwasher, 2 cycles
EAThree Car CarportEADishwasher, 4 cycles
EACentral Vacuum System
Central Air Conditioning
EAAir/Heat Exchange System (HVAC)
SFAir ConditioningEAJetted Bath Tub
SFInterior Sprinkling SystemEAElectronic Air Filter
SFHeating Systems, Hot WaterEAGarage Door Opener
SFHeating Systems, Heat PumpEAAlarm System
EASmoke Detector
