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Residential Questionnaire

Name:*
Phone:*
Mobile:*
Email*
Prefer contact by:*Telephone Email 
Moving From:*
Estimated Area:*
Packing Service Required*Full Packing Service
Fragile Packing Service
No Packing Service Required 
Type Of Resident*House Apartment 
Moving Date*
I Will Require Storage*Yes No 
Will You Be Requiring Interim Accommodation*Yes No 
How many bedrooms in your present house*
How many garages*
Is there a work shed*Yes No 
Do you wish to pack yourselves*Yes No 
Would you like your boxes unpacked at new home*Yes No 
Will you purge unwanted items prior to moving*Yes No 
Would you like help disposing/selling/giving away of these items*Yes No 
Does all furniture leave the house*Yes No 
Do curtains need to be cleaned before you leave*Yes No 
Do carpets need to be cleaned*Yes No 
Does anything need repairing before or after vacating
Do you hire lawn mowing/gardening services that need*Yes No 
Any subscriptions to be cancelled or updated
Are there pets that need to be taken care of*Yes No 
Do you hire from Environmental Green Bins or any other*Yes No 
Do you lease any equipment*Yes No 
Would we able to get a basic floor plan of new home for when the unpacking is done?*Yes No 
Do cleaners need to be organized before you move into new home*Yes No 
Would you like cleaners/window cleaners to provide their services after you vacate your present house*Yes No 
Do you require any extra cabling/ telephone jack points/power sockets in your new house*Yes No 
Do you have Sky T.V*Yes No 
Do you require digital sky wall outlets in new home*Yes No 
Are you on broadband or wireless*Yes No 
Name of your internet provider
Who is your power company
What Council are you under
Are you on septic tank*Yes No 
Does this need to be emptied before you vacateYes No 
Do you have a chimney in present house*Yes No 
Does this need to be cleanedYes No 
Do you have a monitored security system that needs to be transferredYes No 
Do you require someone to put up wall hangings in new homeYes No 
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