All items marked with an asterisk are mandatory and must be completed

Preferred Appointment Day		Date:		Time:
Name *
Email Address *
Address				Postcode:
Telephone - Home		Work		Mobile
Property Address - If different				Postcode:
Tenants Name & Phone Number (If Applicable)				Number:
Property Type	House Bungalow Flat Detached Link Detached Semi Detached End Terrace Mid Terrace Duplex if Flat, please state floor
Year Built	1714-1830 1837-1901 1901-1918 1918-1939 Post-War Modern New Ex-Local Authority
Bedrooms	1 2 3 4 5 6 7 or more
Rooms Downstairs
Rooms Upstairs
Alterations
Conservatory	Yes No	If Yes, please give details
Garage	Yes No	If Yes, please give details
Gardens	Front Yes No	Rear Yes No	Size / Details
Parking	Yes No	If Yes, Driveway On Road		How many cars
Double Glazing	Yes No	If Yes, please give details
Heating	Yes No	If Yes, please state what type
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