Customer Self Aassessment Form

Step 1 of 4

First Name(Required)

Surname(Required)

Phone(Required)

Email(Required)

Removal Date(Required)

How did you hear about us?...

Do you require storage(Required)

Estimated time required for storage(Required)

Is access required whilst in storage(Required)

Do you have direct access to the new property? (i.e. do you have keys)(Required)

Please tick the packing services you would like your quote to include(Required)

Full Packing Service

Fragile Packing Service (Kitchen, Glass & China)

Owner Packed

If packing yourself, do you require packing materials/boxes/tape/paper:(Required)

Box Sizes Required

Book Cartons: 18 x 12 x 12 (Inches)(Required)

Standard Cartons 18 x 18 x 20 (Inches)(Required)

Linen Cartons 36 x 18 x 10 (Inches)(Required)

Large Cartons 24 x 18 x 24 (Inches)(Required)

Fragile Cartons 18 x 18 x 20 (Inches)(Required)

Wardrobe Cartons 1x Wardrobe Carton Per Wardrobe Door(Required)

Inventory of Goods for Removal

Please complete the following inventory giving as much details as possible.

Wardrobe - Large(Required)

Wardrobe - Medium(Required)

Wardrobe - Small(Required)

Dressing Table(Required)

Dressing Table Stool(Required)

Chest of Drawers (3 drawer)(Required)

Chest of Drawers (4 drawer)(Required)

Chest of Drawers (5 drawer)

Chest of Drawers (6 drawer)(Required)

Tallboy with Drawers(Required)

Queen Size Bed(Required)

King Size Bed(Required)

Double Bed(Required)

Single Bed /Toddler Bed/Cot(Required)

Folding Bed(Required)

Bunkbeds(Required)

Baby Changing Table(Required)

Headboard(Required)

Blanket Box/Ottoman(Required)

Bedside Table(Required)

Dining/Kitchen Table - Large(Required)

Dining/Kitchen Table - Medium(Required)

Dining /Kitchen Table - Small(Required)

Gate leg Table(Required)

Dining Chair(Required)

Carver Chair(Required)

5-Seater Sofa(Required)

4-Seater Sofa(Required)

3-Seater Sofa(Required)

2-Seater Sofa(Required)

Cuddle Chair(Required)

Arm Chair(Required)

Fireside Chair – Wingback(Required)

Wicker - Chair(Required)

Bedside/Hall/Tub – Chair(Required)

Rocking Chair(Required)

Nursing Chair and Stool(Required)

Box Pouffe(Required)

Bookcase - Large(Required)

Bookcase - Medium(Required)

Bookcase – Small(Required)

Billy Book Case(Required)

Cube Unit (how many cubes within the unit?)(Required)

Glass Cabinet - Large(Required)

Glass Cabinet - Medium(Required)

Glass Cabinet – Small(Required)

Sideboard – Medium(Required)

Bureau/Roll Top Desk(Required)

Corner Cabinet(Required)

Wall Unit - 1 Section(Required)

Wall Unit - 2 Sections(Required)

Wall Unit - 3 Sections(Required)

Nest of Tables/Side Table(Required)

TV Unit(Required)

TV (Give Size)(Required)

Coffee Table(Required)

Occasional Table(Required)

Console Table(Required)

Computer Desk(Required)

Computer Chair(Required)

Computer(Required)

Printer/Scanner(Required)

3D Scanner(Required)

Filing Cabinet(Required)

Under Desk Filing Cabinet(Required)

Grand Piano(Required)

Baby Grand Piano(Required)

Upright Piano(Required)

Electric Keyboard(Required)

Guitar(Required)

Other Musial Instruments (Please Name)(Required)

Amplifier(Required)

Floor Lamp(Required)

Table Lamp(Required)

Hoover(Required)

Grandfather Clock(Required)

Grandmother Clock(Required)

Sewing Machine(Required)

Cabinet Sewing Machine(Required)

Carpet/Rugs (Please give measurements)(Required)

Pushchair/Pram(Required)

Adults Bicycle(Required)

Child’s Bicycle(Required)

Mirrors(Required)

Pictures (unable to go in a box)(Required)

Kitchen Stool(Required)

Kitchen Stool with Back(Required)

Kitchen Bench(Required)

High Chair(Required)

Chest Freezer(Required)

Tall Fridge/Freezer (single door)(Required)

Tall Fridge/Freezer (double door)(Required)

American Fridge/Freezer(Required)

Under counter Freezer(Required)

Under counter Fridge(Required)

Wine Fridge(Required)

Washing Machine(Required)

Dishwasher(Required)

Tumble Dryer(Required)

Cooker(Required)

Range Cooker(Required)

Welsh Drawers(Required)

Tea Trolley(Required)

BBQ(Required)

Lawnmower – Large(Required)

Lawnmower – Small(Required)

Strimmer/Hedge Cutter/Leaf Blower(Required)

Patio Set - Large(Required)

Patio Set - Small(Required)

Egg Swing (single)(Required)

Egg Swing (double)(Required)

Garden Bench(Required)

Power Tools(Required)

Garden tools – Rake/Spade/Hoe(Required)

Wheelbarrow(Required)

Extending Ladder(Required)

Step Ladder(Required)

House Plants(Required)

Garden Potted Plants(Required)

Bird Table/Bird Bath(Required)

Please list additional items to be moved not listed above:

Item

Quantity

Dismantling(Required)

Box Sizes Required

Title