Damp and Mould Inspection Survey

Damp and Mould Inspection Survey
Please complete this survey to assess and report on damp and mould conditions within the property.
Property Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Inspection Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Inspector Name
First NameLast Name
Contact Email
example@example.com
Areas Inspected (select all that apply)
Other
Observed Damp and Mould Types (select all that apply)
Other
Severity and Extent by Area
Rows Severity (1=Low, 5=High) Approximate Area Affected (sq ft)
Living Room
Bedrooms
Kitchen
Bathroom(s)
Hallways
Other
Possible Causes (select all that apply)
Other
Rate the overall severity of damp/mould in the property
Photos of affected areas (upload if available)
Cancelof
Actions taken during inspection (if any)
Recommendations for remedial action
Should be Empty:

Select theme:

Rows	Severity (1=Low, 5=High)	Approximate Area Affected (sq ft)
Living Room
Bedrooms
Kitchen
Bathroom(s)
Hallways
Other