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
Home address if different
Number of Bedrooms?
1
2
3
4
5
6
7+
Photos of Bedrooms
Drop files here or
Alarms present
Smoke Alarm
Fire Alarm
CO2 Alarm
Photos of Alarms
Drop files here or
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
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 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
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 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
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