Game Console Quality Assessment
Please complete this form to assess the condition and functionality of the game console.
Console Model
*
Serial Number (if available)
Date of Assessment
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Physical Condition
*
Excellent (no visible wear or damage)
Good (minor cosmetic wear)
Fair (noticeable wear or minor damage)
Poor (significant damage or missing parts)
Functionality Check (select all that apply)
*
Powers on successfully
Loads games/discs/cartridges
Connects to display/TV
All controller ports work
Other (please specify)
Accessories Included (select all that apply)
Power cable/adapter
Controller(s)
HDMI/AV cable
Original packaging
Other (please specify)
Overall Quality Rating
*
1
2
3
4
5
Additional Comments or Issues Observed
Submit Assessment
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