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