Deemed score survey
Date
-
Day
-
Month
Year
Date
Surveyor Name
Name of Customer
Address
First Line of address
Street Address Line 2
Town
County
post code
Property Type
House
Bunalow
Flat
Maisonette
Single park home
Double park home
If House/bungalow
Detached
Semi
Mid terrace
End terrace
If Flat/maisonette
2 walls
3 walls
Bedrooms
1
2
3
4
5
6+
Tenure
Owner Occupier
Private tennant
Social housing tennant
What is the pre-main heating sorce
Gas boiler
Electric storage heaters
Oil boiler
LPG boiler
Solid fossil fuel boiler
Electric boiler
Gas room heaters
solid fuel room heaters
electric room heaters
Gas fire with back boiler
Gas back boiler to radiators
Cavity wall insulation type
Bead
Fibre
Cavity POPT%
under 67%
over 67%
Loft insulation depth
under 100mm
over 100mm
Loft POPT%
under 67%
over 67%
Construction age?
Are you extracting any failed cavity wall insulation
Yes
No
Are the wall already partially insulated
Yes
no
Roof Insulation POPT
Main
Type (MAIN)
Roof type of main? Flat/pitched?
Total m2 of main Roof area
How much area are we insulating? (m2)
Extensions
If there is a extension, type (EXT1)
Roof type on extension (Flat/pitched)
Extension roof area m2
How much are we insulating
If second extension, type (EXT2)
Roof type of extension 2(Flat/pitched
Roof area of extension 2
How much are we insulating
LI POPT
A...Total Roof area of main and all extensions
B...Total area of area we are insulating of main and all extensions
B/A=%
Cavity wall POPT
Main
Type (MAIN)
Wall construction E.g Cavity/solid brick/system/timber?
Wall area of main excluding windows m2?
How much are we insulating of main m2?
Extentions
If extension type (EXT1)
Wall construction E.g Cavity/solid brick/system/timber?
Wall area of EXT1 excluding windows m2?
How much are we insulating of EXT1 m2?
If 2nd extension type (EXT2)
Wall construction E.g Cavity/solid brick/system/timber?
Wall area of EXT2 excluding windows m2?
How much are we insulating of EXT2 m2?
CWI POPT
A... Total m2 of main and all extensions
B.... Total m2 to be installed of main and all extentions
B/A=%
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