Self Survey Form

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Self Survey Form
Please ensure that this is filled out in entirety – lack of inaccurate information may lead to
additional charges being levied at a later stage. Please send back to enquiries@squab.co.uk.
If you accept our quote based on this information – please note that we may carry out a pre-move
survey.
Removal from
Name
Address 1
Address 2
Address 3
Postcode
Telephone number
Email address
Type of property
House
Townhouse
Bungalow
Flat
Bungalow
Flat
If flat which floor
Restricted access –
please describe?
Removal date – flexible
or fixed
Removal to
Address 1
Address 2
Address 3
Postcode
Type of property
House
Townhouse
If flat which floor
Restricted access –
please describe?
Service requirements
Full packing service
Yes/No
Fragile Packing service
Yes/No
Please note we offer a limited liability for goods packed by owner.
Please note that all goods packed by owner should be done so by 0900 hrs on moving day
Storage service
Do you require?
Please note these
will be split out as
optional services on
the quotation.
Yes/No
How long?
Dismantling
(dismantling to be completed
prior to 0900 hrs on moving day
if owner dismantle)
Please list items:
Yes/No
Reassembly
Please list items:
Yes/No
Sheet 1
Lounge, Dining Room
3 Seater Settee
2 Seater Settee
Armchair
Bookcase, large
Bookcase, small
Bookshelf (per shelf)
Bureau, large
Bureau, small
Carpet, fitted
Carver
Chandelier
China Cabinet, large
China Cabinet, medium
China Cabinet, small
Dining chair
Dining Table, large
Dining Table, medium
Dining Table, small
Floor Standing Speakers
Grandfather Clock
Hi-fi system
Occasional Chair
Occasional Table, small
Piano Stool
Piano, Baby Grand
Piano, Boudoir Grand
Piano, Miniature
Piano, Player
Piano, upright
Rocking chair
Roll-top Desk, large
Roll-top Desk, small
Rug, medium
Sideboard, large
Sideboard, medium
Sideboard, small
Standard Lamp
Tub Armchair, Small
Wall Unit
Welsh Dresser
CD Stand
Coffee Table
Mirror
Column 1 Total
No. of
Pieces
HO Use
Lounge, Dining Room
Music Cabinet
Nest Tables
Picture
Stool
T.V.
Video / DVD Player
Box Pack 6
Box Pack 2
Box Pack 3
Kitchen
Cooker
Baby's High Chair
Clothes Horse, 3 fold
Dishwasher
Dryer
Electric Floor Polisher
Freezer, chest
Freezer, upright
Fridge Freezer
Hall chair
Hall Stand
Hall Table
Hand Sewing Machine
Kitchen Cabinet
Kitchen Chair
Kitchen Table, large
Kitchen Table, small
Microwave
Refrigerator, large
(American
style)
Refrigerator,
medium
Refrigerator, small
Safe (state make &
weight)
Store
Cupboard, medium
Tea Trolley
Vacuum Cleaner
Washer and Dryer
Washing Machine
Box – Pack 6
Box – Pack 2
Box – Pack 3
Column 2 Total
Sheet 1 Total
No. of
Pieces
HO Use
Sheet 2
Bedroom
Bedroom Chair
Bedside Table
Bedstead 3’
Bedstead 4’
Bedstead 5’
Blanket Box
Box Ottoman
Bunk Beds
Chest of Drawers, Bow fronted
Chest of Drawers, Medium
Chest of Drawers, Small
Chest of Drawers. Large
Childs Folding Cot
Continental Headboard
Cot
Dressing Table
Dressing Table
Folding Bed
Home Computer
Linen Basket
Pedestal Cupboard
Sofa Bed
Table Lamp
Tallboy, normal
Wardrobe 2' 6" (width)
Wardrobe 3' 0" (width)
Wardrobe 4' 6" (width)
Wardrobe 6' 6" (width)
Pack 6
Pack 2
Pack 3
Wardrobe boxes
Outside effects
No. of
Pieces
HO Use
Outside Effects and Other Items
Additional items
)
Column 2 Total
Total
Total for Sheets 1 + 2
HO Use
Pair Steps
Sun, Lounger
Wheelbarrow
Bicycle
Deck Chairs
Extensions Ladder
Golf Clubs
Plant Pots
Plants
Pram/Pushchair
Work Bench
Pack 6
Pack 2
Pack 3
Extra materials required (see notes)
Pack 6
Pack 2
Pack 3
Wardrobe boxes
Bag bubble wrap (25m)
Pack of paper (10Kg)
Barbeque
Dustbin, normal
Garden Chairs (Stackable)
Garden Roller
Garden table
Garden Tool, per tool
Hose and Reel
Lawn Mower, normal
Lawn Mower, ride on
Column 1 Total
No. of
Pieces
Box Ready Reckoner
Carton
Code
Pack 6
Pack 2
Pack 3
Dimensions
Dimensions
Imperial
(inches)
Metric (mm)
18 x 13 x 13
18 x 18 x 20
18 x 18 x 30
Wardrobe 21 x 24 x 44
Volume
Usage
Cubic feet
Used for books, records, tools,
foodstuff, heavy items, bottles.
2
Used for china, glassware, toys,
pans, electrical items, small
appliances
4
Used for bedding, blankets, large
toys, lamps etc/
6
Use for hanging clothes, tall plants
10
457 x 330 x 330
457 x 457 x 499
445 x 445 x 744
48.4 x 55.4 x 99.2
Bag of bubble wrap (25m x 750mm H) – suitable for wrapping up to four average sized pictures
Pack of paper (10Kg’s) – suitable for a kitchen in a 1-2 bed property
For further information relating to boxes please visit our website www.squabstorage.co.uk/boxes
Examples:
1 x pack 6 carton could take up to six lever arch files
1 x size 2 cartons per kitchen cupboard door
1 x Wardrobe carton per single wardrobe door
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