Residential Risk Assessment Questionnaire Form
Evaluate key conditions and potential risks at a residential property.
Property Type
*
Detached house
Semi-detached or townhouse
Apartment or condominium
Other
Property Occupancy
*
Owner-occupied
Tenant-occupied
Vacant
Seasonal or occasional use
Approximate Property Age (years)
*
Primary Construction Type
*
Please Select
Wood frame
Brick or masonry
Concrete
Mixed materials
Other or unknown
How would you rate the roof's current condition?
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
How would you rate the electrical system's current condition?
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
How would you rate the plumbing and water system's current condition?
*
Poor
1
2
3
4
Excellent
5
1 is Poor, 5 is Excellent
Which potential property hazards are present?
*
Signs of water intrusion or leaks
Visible structural cracks or movement
Mold or persistent dampness
Overhanging trees or falling-branch risk
Nearby flood, wildfire, or storm exposure
None known
Other
How would you rate the property's exterior security and access control?
*
1
2
3
4
5
What other property risks or concerns should be noted?
Submit Assessment
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