Name*Phone*Email* Inspection Date*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Address of Inspection* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Was the inspector on time for the inspection?YesNoWas the inspector clean and courteous?YesNoDid the inspector answer any questions you had?YesNoDid you feel the inspector was knowledgeable?YesNoDid you understand that hidden and / or obstructed areas can not be inspected and why?YesNoDid you understand that the inspection process cannot reveal every defect that exists?YesNoDo you feel the value of the inspection was worth the fee paid?YesNoWould you hire this inspector again or recommend the inspector to a friend?YesNoWas the inspection report easy to follow and understand?YesNoAdditional Comments / SuggestionsEnter Code
