E-Instant Survey Form

E-Instant Survey Report

V3.1 Please provide information below:
Change Log:
13/8/14 - Updated to V3. Major changes. Queried Jotform support re: Autosave

14/8/14 - Autosave disabled for performance/demonstration purposes

18/8/14 - Added Calculator. Changed Address Field to two text boxes Updated Dropbox linkso = Surveyor - K Number Shared Dropbox folder w/ KiltoxTablet1. Removed Upper 'Submit' button. Reset bottom submit button due to faults. Updated to v3.1. Added 'what type of report' and began scripting conditions

19/8/14 - Added Negative and Quotation Options and scripted accordingly

20/8/14 - Corrected typos. Adjusted Ventilation and Defects secions to include new/different options. Added 'Show More' toggles with conditions.
Welcome to the Kiltox E-Instant Survey Form!

You do not need to complete every field in this form, but the more information you can provide the better!

Any questions, please contact Michael.

Please note, the form auto-saves every 30 seconds - You may notice a small period of 'lag' while this autosaves - this stops you losing all your data if you press the wrong button!

14/8/14 - Autosave disabled for performance/demonstration purposes
First, what type of report will this be?

Combined: This report has both Remedial and Ventilation recommendations (This will show the entire form - If in doubt, select this one!)

Remedial: This report will only recommend remedial work - This means you can skip the ventilation sections.

Ventilation: This report will only recommend ventilation work - This means you can skip the remedial sections.

Negative: Removes pricing sections

Quotation Only: Removes 'Findings' Section
What type of report will this be?

Combined Remedial Ventilation Negative Quotation Only

Inspection Details
Please provide the following information about the property which you have inspected
Property Age
Estimated or known age of property
Property Type
Type of Property
Weather Condition
Parking
Wall Thickness
Glazing Type
Avg. Humidity (%RH)
Avg. Temp (oC)
Additonal Information
Additional information about the property as a whole which may be of use.

Photographs
In this section you can upload any important photographs. Please note that this is strictly optional as your photographs should already be uploaded to the office via Dropbox!

Please only use this for essential photographs as we have a very small size limit!

Android Users: Please click 'Upload a File' and select 'Take a Photo' or 'Gallery'

iOS users: Please click 'Upload a File' and select 'Camera Roll' after taking your photograph.

PC Users: Please click 'Upload a File' and select the appropriate file from your dropbox.
Upload Files

Upload a File

Cancel of

Costing Sheet
In this section you can upload photographs of your costing sheets or any appropriate notes.

Please upload drawings on the next page.

Multiple photos can be uploaded.

Android Users: Please click 'Upload a File' and select 'Take a Photo' or 'Gallery'

iOS users: Please click 'Upload a File' and select 'Camera Roll' after taking your photograph.

PC Users: Please click 'Upload a File' and select the appropriate file from your dropbox.
Ventilation

Upload a File
Please photograph your Ventilation Costing Sheet Cancel of
Remedial

Upload a File
Please photograph your Remedial Costing sheet Cancel of
Total Price (ex. VAT)
Total price of all works we are quoting for ex. VAT
Total Price (inc. VAT)
Total price of wall works we are quoting for inc. VAT
Discount Offered
Please note any discounts that you are offering
Calculator

Drawing
In this section you can upload a photo of your drawing/s. Multiple photos can be uploaded if you have several drawings.

Android Users: Please click 'Upload a File' and select 'Take a Photo' or 'Gallery'

iOS users: Please click 'Upload a File' and select 'Camera Roll' after taking your photograph.

PC Users: Please click 'Upload a File' and select the appropriate file from your dropbox.
Upload

Upload a File

Cancel of

Should be Empty:

	Inspected?	Restricted?	Rising Damp	Penetrating Damp	Inadequate Ventilation	High Ground Level	Defective Seals or Frames	Defective Plinths	Cracked/Blown Render	Defective Rain Water Goods	Spalling Brickwork	Defective Pointing	Plant Growth In/On Brickwork	Brickwork Staining - Plumbing Leaks	Defective Flashings
Front Elv.
Left Flank
Right Flank
Rear Elv.

	Inspected?	Restricted?	Solid Floor?	Floor Covers?	Rising Damp	Penetrating Damp	Timber Infestation	Dry Rot	Wet Rot	Condensation	Inadequate Ventilation	Mould Growth	Cracked Plaster	Suspected Leak	Defective Grouting	Exposure Required
Sub-Floor
Kitchen
Bathroom
W/C
Hallway
Stairway
Front Room
Rear Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Bedroom 5
Bedroom 6
Roof Void

	Inspected?	Restricted?	Solid Floor?	Floor Covers?	Rising Damp	Penetrating Damp	Timber Infestation	Dry Rot	Wet Rot	Condensation	Inadequate Ventilation	Mould Growth	Cracked Plaster	Suspected Leak	Defective Grouting	Exposure Required
Other 1
Other 2
Other 3
Other 4
Other 5
Other 6
Other 7
Other 8
Other 9
Other 10

	Window?	Ducted?	SELV?	HRV150	100mm Ax.	150mm Ax.	100m Cent.	PPU	Passive	Service	Humidistat	KairTrak	AKOR	Bertha	ADVANCED	iEco4	Supply Point	Extract Point	Other
Kitchen
Bathroom
W/C
Hallway
Stairway
Front Room
Rear Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Bedroom 5
Bedroom 6
Roof Void

	Window?	Ducted?	SELV?	HRV150	100mm Ax.	150mm Ax.	100m Cent.	PPU	Passive	Service	Humidistat	KairTrak	AKOR	Bertha	ADVANCED	iEco4	Supply Point	Extract Point	Other
Other 1
Other 2
Other 3
Other 4
Other 5
Other 6
Other 7
Other 8
Other 9
Other 10

	Mould Clean	DPC	WW/DP Spray	DR Irrig.	PDS	Replastering	Tanking	Paste	Airbrick	French Drain	Screed & DPM	Concrete Base	F/F Protect	Slurry	Plinth	Rendering	Exposure	Other
External (Front)
External (Left)
External (Right)
External (Rear)
Sub-Floor
Kitchen
Bathroom
W/C
Hallway
Stairway
Front Room
Rear Room
Bedroom 1
Bedroom 2
Bedroom 3
Bedroom 4
Bedroom 5
Bedroom 6
Roof Void

Property Details