Survey Request
Name
Phone Number [ideally a landline]
e-mail address
Moving From [nearest town/city]
Moving to
Distance of move [miles]
Moving Date
Is the moving date fixed or approximate?
fixed date
approximate date
Number of Bedrooms
1
2
3
4
More than 4
Floor levels at House moving from
Ground floor only
Ground and first floor
First floor only
Ground, first and second floors
Second floor only
Other [please comment below]
Elevator Available?
yes
no
Access at house moving from
Lorry can park within 5 metres
Lorry can park within 15 metres
Lorry can park within 30 metres
Other [please comment below]
Floor levels at house moving to
Ground floor only
Ground and first floors
First floor only
Ground, first and second floors
Second floor only
Other [please comment below]
Elevator available?
yes
no
Access at house moving to
Lorry can park within 5 metres
Lorry can park within 15 metres
Lorry can park within 30 metres
Other [please comment below]
Might you want our packing service?
yes
no
Do you want storage?
yes
no
Comments