Name
Email
Phone
Address
City
Province
Postal Code
Reason for evalution
Choose one
Selling
Refinancing
Are you planning on selling your home with the next 6 months?
Choose one
Yes
No
ABOUT YOUR HOME
Rate the condition of your home
Choose one
10 - Excellent
9
8
7
6
5
4
3
2
1 - Poor
Age of home
Year Purchased
Home Total square footage
Choose one
Less than 1000
1001 to 1500
1501 to 2000
2001 to 2500
2501 to 3000
3001 to 3500
Over 3500
Type
Choose one
Detached
Semi Detached
Townhouse - Free Hold
Townhouse - Condo
Condo
Other
What is the type
What type of Heating
Choose one
Gas
Oil
Electric
Other
Type of heating
Lot Size - Ft Front x Ft depth
# of Bedroom
Choose one
1
2
3
4
5
6 or more
# of Bathrooms
Choose one
1
1.2
2
2.5
3
3.5
4
4.5
5
5.5
6 or more
Finished Basement
Choose one
Yes
No
Partial completion
No Basement
Do you have a Fireplace
Choose one
No
Yes
Yes - Multiple
Type of fireplace
Type of fireplace
Other Amenties and Notes