First & Last Name *

Email

Phone

Street Address *

Unit (if applicable)

City *

State *

ZIP Code *

Exterior

1. Have you noticed any stucco cracks on the exterior of the building? *YesNo

Question 1 - Comments

2. Have you noticed any loose or delaminated stucco on the exterior of the building? *YesNo

Question 2 - Comments

3. Have you noticed any significant bulges in the stucco on the exterior of the building? *YesNo

Question 3 - Comments

4. Have you noticed any fading, staining or other discoloration of the stucco? *YesNo

Question 4 - Comments

5. Do you have cracks or separations in the foundation? *YesNo

Question 5 - Comments

6. Do you have exterior paint that is bubbling, excessively peeling, or stained? *YesNo

Question 6 - Comments

7. Describe any other issues you have concerns about regarding the exterior of your home.

Windows / Doors

8. Do you have any issues with windows/doors in your home? *YesNo

Question 8 - Comments

9. Do you have any mold, mildew, or staining on or around your windows? *YesNo

Question 9 - Comments

Interior

10. Have you noticed any leaks or signs of leaks into your home/unit? *YesNo

Question 10 - Comments

11. Have you noticed damp spots in the carpet or wood floors or delaminated or loose tile(s)? For example, below the sliding glass door, exterior door, or windows. *YesNo

Question 11 - Comments

12. Have you noticed cracked, or delaminated or loose tile(s)? For example, below the sliding glass door, exterior door, or windows. *YesNo

Question 12 - Comments

13. Are there any cracks and/or soft spots in the walls or ceilings? *YesNo

Question 13 - Comments

14. Is there any staining at the ceilings or at the base or the top of the interior walls? *YesNo

Question 14 - Comments

15. Describe any other issues you have concerns about regarding the interior of your home/unit.

Roof

16. Have you had any problems or leaks with your roof? *YesNo

Question 16 - Comments

17. Have you noticed any cracked or missing roof tiles or shingles? *YesNo

Question 17 - Comments

18. Have you noticed any depressions or sways in your roof? *YesNo

Question 18 - Comments

Submit