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 Type Property Access Dwelling Style
Slab Standard Urban Detached
Crawlspace Zero Clearance Semi-Attached
Basement Hillside Inside Row TH
Walkout Basement Rural Access End Row TH
Pier/Silt Duplex
Hillside/Elevated Triplex
Year Built: Architecturally Designed: Yes No
Exterior Wall Construction % of Dwelling Dwelling Type
Concrete Block/Masonry 1 Story
Stucco - Wood Frame 1 1/2 Story
Brick Veneer - Wood Frame 2 Story
Wood/Vinyl Siding - Wood Frame 2 1/2 Story
Solid Brick/Masonry 3 Story
Stone Veneer Bi-Level
Solid Brick/Masonry Tri-Level
Solid Stone 1 + 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 Roof Interior Wall Height % of Area
Dwelling Area Asphalt, Roof Shingles 8" Ceilings/Interior Walls
Unfinished Living Area Tar & Gravel Deck 9" Ceilings/Interior Walls
Unfinished Basement Cedar Shingles, Shakes 10" Ceilings/Interior Walls
Finished Attic(s) Clay Tile/Slate
Finished Basement Metal Shingle/Tile
Bonus Room Metal 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 UNIT QTY UNIT
Bathrooms Sunrooms/Breezeways
EA Full Bathroom (3 pc) SF Solarium / Sunroom
EA Half Bathroom (2 pc) SF Breezeway, Open
EA Additional Shower Stall SF Breezeway, Enclosed
EA Additional Bathroom Fixture
Swimming Pools
Decks / Porches / Patios
Above Ground
SF Deck, Pressure Treated Lumber, Joists 16" OC Inground, Vinyl Lined, Metal Sides
SF Deck, Pressure Treated Lumber, Joists 24" OC Inground, Vinyl Lined, Concrete Sides
SF Deck, Redwood/Cedar, Joists 16" OC Inground, Gunite/Concrete Sides & Bottoms
SF Patio, Poured Concrete Size: x
SF Patio, Interlocking Bricks
SF Patio, Concrete Tiles
Kitchen Upgrades
SF Porches, Open EA Upgraded Kitchen Cabinets
SF Porches, Enclosed EA Solid Surface Countertops
Skylights Hot Tubs
EA Skylight, Fixed 24" x 24" EA Soft-Sided Portable Tub
EA Skylight, Fixed 24" x 48" EA Free-Standing Hot Tub, Small
EA Skylight, Operating 24" x 48" EA Free-Standing Hot Tub, Medium
EA Free Standing Hot Tub, Large
Fireplaces
EA Built-In Hot Tub, Small
EA Fireplace, One Story EA Built-In Hot Tub, Medium
EA Fireplace, Two Story EA Built-In Hot Tub, Large
EA Fireplace, Prefabricated
EA Woodstove
Built-Ins
EA Fireplace Insert, Steel EA Range, 1 Oven
EA Fireplace Insert, Cat Iron EA Range, 2 Ovens
EA Fireplace, Direct Vent, 33" - 36" EA Counter Top Range, 4 Burner Standard
EA Fireplace, Direct Vent, 42" - 46" EA Counter Top Range, 4 Burner Griddle
EA Fireplace, Direct Vent, Multi-Sided EA Microwave Oven, Standard
EA Microwave Oven, Convection
Multi Family Upgrades
EA Compactor
EA Additional Kitchen EA Deep Freezer, 15 - 23 CF
EA Additional Bathroom EA Deep Freezer, 30 CF
EA Additional Entry & Exit EA Dehumidifier, 7 liter Capacity
EA Separate Heating Unit EA Dehumidifier, 15 liter Capacity
EA Separate Electrical Service EA Washing Machine
EA Dryer
Garages / Carports
EA Refrigerator, 10 - 12 CF
EA One Car Attached Garage EA Refrigerator, 14 - 16 CF
EA Two Car Attached Garage EA Refrigerator, 18 - 20 CF
EA Three Car Attached Garage EA Refrigerator, 21 - 29 CF
EA One Car Detached Garage EA Garbage Disposal
EA Two Car Detached Garage EA Range Hood, 30" Wide
EA Three Car Detached Garage EA Range Hood, 42" Wide
EA One Car Built-In Garage EA Ice Maker, 6kg per Day
EA Two Car Built-In Garage EA Ice Maker, 20 kg per Day
EA Three Car Built-In Garage EA Water Softener, 100 liter Capacity
EA One Car Carport EA Water Softener, 200 liter Capacity
EA Two Car Carport EA Dishwasher, 2 cycles
EA Three Car Carport EA Dishwasher, 4 cycles
EA Central Vacuum System
Central Air Conditioning
EA Air/Heat Exchange System (HVAC)
SF Air Conditioning EA Jetted Bath Tub
SF Interior Sprinkling System EA Electronic Air Filter
SF Heating Systems, Hot Water EA Garage Door Opener
SF Heating Systems, Heat Pump EA Alarm System
EA Smoke Detector
