Customer Quotation

Customer Details
Name*
Address*
Phone*
Email*
Grants & Schemes
Is this for a Green Homes Grant?*
- Yes
- No
Grant Application For ECO3 or Green Deal*
- Yes
- No
Is the applicant on benefits?*
- Yes
- No
What benefits is the applicant on?
Date of Birth of Applicant
Date Format: DD slash MM slash YYYY
Type of Works
Type of Insulation work*
- Cavities
- Spray Foam
- Loft Insulation
- Cavities & Loft Insulation
- Cavities & Spray Foam
- Loft Insulation or Spray Foam
- Cavities, Loft Insulation & Spray Foam
- Cavity Extraction & Loft Insulation
- Cavity Extraction & Spray Foam Insulation
About The Building
Age of building*
- New Construction
- Retro fit for existing building
Type of building*
- House
- Bungalow
- Flat
- Block of Flats
- Flat above Shop
- Commercial Unit
- Office Block
Style*
- Detached
- Semi Detached
- End Terrace
- Mid Terrace
- Maisonette
- Ground Floor Flat
- 1st Floor Flat
- 2nd Floor Flat
- 3rd Floor Flat
- 4-9th Floor Flat
- Whole Block of Flats
Construction*
- Brick
- Render
- Brick and Render
- Stone
- Metal
- Timber
- Pre Fab
- System Built
Heating System*
- Gas
- Electric
- Air or Ground source Heat Pump
- Oil
Number of Bedrooms?
Is an extractor fan required for the Kitchen*
- Yes
- No
Is an extractor fan required for bathrooms?*
- Yes
- No
About the Cavity
Are Cavities Showing Damp*
- Yes
- No
Photos Showing Damp
Drop files here or
Are The Cavities Empty*
- Yes
- No
Is Extraction Required*
- Yes
- No
What Type of Insulation?*
- Blown Fibre
- White Wool
- Urea-formaldehyde Foam
- White Bead
- Silver Bead
- Undetermined
Depth of Cavity*
- 50mm
- 60mm
- 75mm
- 90mm
- 100mm
- 125mm
- 150mm
Check list
Is Neighbour Access Required?*
- Yes
- No
Cavities have been inspected?*
- Yes
- No
Agreed Areas Requiring Insulation?*
- Yes
- No
Scaffolding Required?*
- Yes
- No
Areas Requiring Insulating
Main house?*
- Yes
- No
Extension*
- Yes
- No
Conservatory*
- Yes
- No
Inside Garage Internal Walls*
- Yes
- No
Other:
About the Spray Task
Job Type*
- Attic Roof
- Drill and Fill Eaves
- Room in Attic
- Commercial or Shed Roof
- Static Caravan
- Roof and Sides of Shed
Pass Moisture Test*
- Yes
- No
Been Fully Measured*
- Yes
- No
Depth of Rafters over 100mm*
- Yes
- No
Does it need membrane*
- Yes
- No
Light Required?*
- Yes
- No
Ladder Required?*
- Yes
- No
Loft Insulation
Does loft currently have laid insulation
- Yes
- No
Will current insulation Remain in place
- Yes
- No
Current Depth of Insulation
Is attic boarded
- Yes
- No
- Partly
Will Pipe lagging be added?*
- Yes
- No
Meters of lagging required?
Will Hot Water Tank require a jacket?*
- Yes
- No
Size of Hot water jacket required?
Relevant Photos
External Photos
Drop files here or
Photos Showing Cavity
Drop files here or
Photos of construction finish, DPC and Guttering
Drop files here or
Photos of Extraction & Window vents/latches
Drop files here or
Photos of Heating & Chimney
Drop files here or
Loft Photos
Drop files here or
Access & Parking Photos
Drop files here or
Notes
Survey Notes
Such as anything not straight forward, like finding the place, where to park, which walls to insulate or any comments by the home owner worth knowing.
Square Meter Measurements
Total Area for Extraction
Total Area for Cavity Wall Insulation
How many Rooms Require Extractor Fans?
Square Meters of Membrane
Total Area for Spray Foam Insulation
Depth of loft insulation to be Added (mm)
Total Area for Loft Insulation
Quotation
Total Cost of Cavity Extraction
Total Cost of Cavity Wall Insulation*
Contribution Towards Cavity Wall Insulation*
Total Cost of Extractor Fans*
Contribution Towards Extractor Fans*
Total Cost of Spray Foam Insulating*
Contribution Towards Spray Foam Insulation*
Total Cost of Loft Insulation*
Contribution Towards Loft Insulation*
The Survey
Name of Surveyor
Date of Survey
Date Format: DD slash MM slash YYYY
Message to client

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