Inspection Client QuestionnaireWe are sorry to hear about the unfortunate situation and we can certainly empathize with the stresses of homeownership. We will be more than happy to discuss the problems which you are experiencing and do our best to provide you with the tools to aide. Please fill out the following questionnaire and submit the answers to our office to help better understand the problem. After we have received the information, we will confirm receipt and review the submission. Name * First Name Last Name Email * Address of the inspected property * Phone * (###) ### #### Date of the inspection * MM DD YYYY Today's Date * MM DD YYYY Have you read the pre-inspection agreement, inspection report, and Arizona Standards of Professional Practice for home inspectors? * Yes No Did you receive a copy of the inspection report? * Yes No Please select the services you requested: * Home Inspection Termite Inspection Pool/Spa Inspection Sewer Line Scope Mold Air Quality Test Was the inspected property occupied (even if occupants were not present)? * Select One Yes No I dont know Did you accompany your inspector on the inspection? Select One Yes, I was at the entire inspection Yes, I attended the review I spoke with the inspector virtually (phone call, FaceTime, etc) No, I was not present during the inspection If possible, please describe the weather conditions on the date of the inspection. * Please describe the issue you have with the inspection. * Is the issue you are concerned about indicated in the inspection report? Select One Yes, the issue is mentioned in the report No, the issue is not mentioned in the report When did you first become aware of the issue that you have described? (Please provide a date) * How did you first become aware of the issue that you have described? * Did you conduct a final walkthrough? * Yes No Was the issue visible at the final walkthrough? * Yes No Were you present at the final walkthrough? * Yes No Was the property furnished at the time of inspection? * Yes No Partially Did you read the pre-inspection agreement and Arizona Home Inspection Standards of Practice? * Yes No Did you receive a Seller's Disclosure from the seller of the property? * Select One No, I did not receive a Seller's Disclosure Yes, I received a Seller's Disclosure and the seller mentions the issue Yes, I received a Seller's Disclosure and the seller did not mention the issue Will you send us the Sellers Disclosure Statement to office@dwellinspectaz.com? Yes No Have you contacted your third party "home warranty" company to resolve this issue? * Select One Yes, I have contacted the home warranty company No, I have not contacted the home warranty company No, I did not purchase a home warrant Please explain why you believe that Dwell Inspect is at fault or what action could have occured to prevent the problem. * When did you move into the property? * How many days after the problem was discovered did it take to contact the office or inspector of Dwell Inspect? * Have you had a specialist or third party look at or repair the problem? * Have you done anything to repair the issue? * Signature * Please type your entire name. If your name is typed below you are indicating that all statements in this form are answered to the best of your knowledge and are truthful. Thank you!
