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FutunaWestern SaharaYemenZambiaZimbabweÅland IslandsCountryDateLayoutKitchenKitchen SizeSmallMediumLargeHeat detector/Smoke Alarm fitted?YesNoAny hazards/damage present?YesNoDescribe hazards/damages:New Kitchen Required?YesNoLiving RoomLiving room sizeSmallMediumLargeAny Hazards/damages present?YesNoDescribe hazards/damages:BathroomWhich bathroom fixtures do you have?BathWCWalk in ShowerWet RoomWHBSeparate WCBathroom sizeSmallMediumLargeShower typeElectricMixerNoneAny Hazards/damages present?YesNoDescribe hazards/damages:New Bathroom Required?YesNoExternalEase of Access (Front)AdequateInadequateEase of Access (Rear)AdequateInadequateDescribe Ease of AccessPlease include any damage/hazards presentAny Hazards/damages present?YesNoDescribe hazards/damages:HallAny Hazards/damages present?YesNoDescribe hazards/damages:General State of DecorationPlease tick all applicableLayoutKitchenGoodAdequatePoorSigns of HoardingBedroom 1GoodAdequatePoorSigns of HoardingPorchGoodAdequatePoorSigns of HoardingBathroomGoodAdequatePoorSigns of HoardingBedroom 2GoodAdequatePoorSigns of HoardingHallGoodAdequatePoorSigns of HoardingWCGoodAdequatePoorSigns of HoardingBedroom 3GoodAdequatePoorSigns of HoardingExteriorGoodAdequatePoorSigns of HoardingLiving RoomGoodAdequatePoorSigns of HoardingBedroom 4GoodAdequatePoorSigns of HoardingPlease describe any damages etc If additional rooms present, please detail below.Tenant Engagement and NotesTenant opinion on warmth of property:Likelihood Tenant will allow access for future surveys and works/access issues:Any other issues reported by Tenant:FOR OFFICE USEComplete post AssessmentHeatingOn gas GridOff gas GridMain Heating TypeBoiler System (Rads)Heat Pump (Rads/underfloor)Heat Pump (Warm Air Distribution)Community HeatingESHWarm Air SystemRoom HeatersOtherSecondary Heating TypeBoiler System (Rads)Heat Pump (Rads/underfloor)Heat Pump (Warm Air Distribution)Community HeatingESHWarm Air SystemRoom HeatersOtherNotesPlease specify fuel type for main and secondary heating types below, along with any further notes.Windows & DoorsSelect all that applyWindow TypeSingleDouble (pre 2002)Double (post 2002)DamagedWindow MaterialWoodPVCMetalCompositeInternal Door MaterialWoodOtherGlassDamagedExterior Door MaterialWoodPVCMetalGlassOtherExterior Door TypeStandardSlidingBi foldFrenchOtherNotesPlease note location of any window and doors that differ from the above specified type, and any nature & location of damage present.Ventilation Types PresentPlease tick where applicableKitchenExtractorTrickle VentsAir BricksOtherBathroomExtractorTrickle VentsAir BricksOtherWCExtractorTrickle VentsAir BricksOtherLiving RoomExtractorTrickle VentsAir BricksOtherBedroom 1ExtractorTrickle VentsAir BricksOtherBedroom 2ExtractorTrickle VentsAir BricksOtherBedroom 3ExtractorTrickle VentsAir BricksOtherBedroom 4ExtractorTrickle VentsAir BricksOtherNotesPlease include any Damaged/blocked vents, or alternative ventilation types present. If additional rooms present, please detail below.Construction Details:(Select all that apply)Main Construction TypeCavitySolidSystemTimberMixedAlternate Wall ConstructionCavitySolidSystemTimberLocation of Alt WallFrontRearLeftRightAppropriate Insulation TypeCWIIWIEWIFloor ConstructionSuspendedSolidMould/Condensation?(Select all that apply)Is Mould/Condensation Present?YesNoIf yes, select locations:KitchenBathroomWCLiving RoomBedroom 1Bedroom 2Bedroom 3Bedroom 4HallPorchOtherNotesPlease note any further rooms where Mould/condensation may be present, and any other relevant notes Submit
