Foundation Assessment Survey

Foundation Assessment Survey
Please complete this survey to help us assess the current condition and needs of your building's foundation.
Full Name
First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Building Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Building
Approximate Age of Building (years)

Foundation Assessment Matrix

Rows	Not Observed	Minor	Moderate	Severe
Cracks in foundation walls
Signs of settlement or sinking
Moisture or water intrusion
Efflorescence (white powder)
Visible mold or mildew
Damage to foundation coating
Poor drainage around foundation

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