24 Self-Assessment

1

Self - Assessment

The duration of this self-assessment is between 2 to 4 minutes, depending on your type of building.
2
Let's start with your information.
First Name
Last Name
3
Address* This field is required.
Street Address
Apartment, Suite, Bay
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
4
Phone Number* This field is required.
Area Code
Phone Number
5
Email* This field is required.
example@example.com
6
How did you hear about Leak Doctor?* This field is required.
Google
Friend or family
Bing
Leak Doctor Truck
Neighbour
Leak Doctor Signs
Social, Facebook, Instagram, Tweeter
Internet
Other
7
Few questions about your property
Yes
No
Do you Own this property?
Row 0, Column 0
Row 0, Column 1
Is this house currently for sale, or you are planning to sell this property?
Row 1, Column 0
Row 1, Column 1
Are you suspecting a plumbing leak?
Row 2, Column 0
Row 2, Column 1
Do you Own this property?
Is this house currently for sale, or you are planning to sell this property?
Are you suspecting a plumbing leak?
Yes
Row 0, Column 0
No
Row 0, Column 1
Yes
Row 1, Column 0
No
Row 1, Column 1
Yes
Row 2, Column 0
No
Row 2, Column 1
1 of 3
8
Does your business operate in any of the following professions and require our services?* This field is required.
I'm the Tenant
Builder
I'm the Home Owner
General Contractor
Realtor
Engineer or Architect
Property Management
Developer
None of the above
Other
9
Which type of building do you need us to inspect? * This field is required.
House
Appartment/Condo
Retail/Resturant
Mall/Office Building
Industrial/Warehouse and others
Mobile Building
Parkade, Concrete Structure
Cottage, Cabin or Vacation Home
10
What type of inspection do you need?* This field is required.Select one or more, if you don't know what type of inspection you will need select "other". Our technician will determine the type of inspection base on your answers.
Window or Door Leak Investigation
Air Leak Investigation
Air-tightness Test - Door Blower Test
Ceiling Leak Investigation
Building Envelope Inspection
Water Test - Infrared Scan
Roof Leak Inspection
Foundation Inspection
Plumbing Leak Investigation
Insulation Inspection
Drone Roof Inspection
Deck Leak Inspection
Stucco or Siding Leak Investigation
Frost or Cold room Inspection
Preventative or Annual Building Envelope Inspection
Aerial Drone with Infrared Camera Survey
Air Quality Test
Asbestos or Mould Test
Other
11
What type of home do you own?* This field is required.
Semi-Attached Home
Detached Home
Acreage Home
Row houses/Townhouse
12
Which year period was built?* This field is required.Only number, if you don't know the exact year write you best guess
13
How many storeys does your house have?* This field is required.Single storey (bungalows,most flats); two-storeys (semi-detached, detached, terraced, town-house)
14
Which year did you purchase your home?* This field is required.
15
How many square feet is your home?* This field is required.
16
If you have had any leaks, how long have you experienced this issue?* This field is required.Number of days, months or years
17
Which side of your house would you like us to inspect?* This field is required.
I don't Know
Left Side
West
Front
North
Back
South
Right Side
East
Other
18
Do you experience a leak? You can move to the next question if you don't experience a leak.Add the number or Items, Walls or rooms you would like us to inspect. You can select multiple areas per each of the floors you want us to inspect.
# Window
# Door
# Foundation Walls
# Floor areas
# Wall
# Deck
# Ceiling
Main Floor
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Second Floor
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Third Floor
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Basement
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Garage
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Main Floor
Second Floor
Third Floor
Basement
Garage
# Window
Row 0, Column 0
# Door
Row 0, Column 1
# Foundation Walls
Row 0, Column 2
# Floor areas
Row 0, Column 3
# Wall
Row 0, Column 4
# Deck
Row 0, Column 5
# Ceiling
Row 0, Column 6
# Window
Row 1, Column 0
# Door
Row 1, Column 1
# Foundation Walls
Row 1, Column 2
# Floor areas
Row 1, Column 3
# Wall
Row 1, Column 4
# Deck
Row 1, Column 5
# Ceiling
Row 1, Column 6
# Window
Row 2, Column 0
# Door
Row 2, Column 1
# Foundation Walls
Row 2, Column 2
# Floor areas
Row 2, Column 3
# Wall
Row 2, Column 4
# Deck
Row 2, Column 5
# Ceiling
Row 2, Column 6
# Window
Row 3, Column 0
# Door
Row 3, Column 1
# Foundation Walls
Row 3, Column 2
# Floor areas
Row 3, Column 3
# Wall
Row 3, Column 4
# Deck
Row 3, Column 5
# Ceiling
Row 3, Column 6
# Window
Row 4, Column 0
# Door
Row 4, Column 1
# Foundation Walls
Row 4, Column 2
# Floor areas
Row 4, Column 3
# Wall
Row 4, Column 4
# Deck
Row 4, Column 5
# Ceiling
Row 4, Column 6
1 of 5
19
How many areas do you want us to inspect?* This field is required.Add the number of windows, walls or rooms you want us to inspect. If you select a room, please also add the number of windows and doors inside the room.
Number or area or items to be inspection
# Rooms
Row 0, Column 0
# Windows
Row 1, Column 0
# Doors
Row 2, Column 0
# Walls
Row 3, Column 0
# Skylight
Row 4, Column 0
# Decks
Row 5, Column 0
# Garage
Row 6, Column 0
# Foundation Wall
Row 7, Column 0
# of Room's Ceiling
Row 8, Column 0
# Rooms
# Windows
# Doors
# Walls
# Skylight
# Decks
# Garage
# Foundation Wall
# of Room's Ceiling
Number or area or items to be inspection
Row 0, Column 0
Number or area or items to be inspection
Row 1, Column 0
Number or area or items to be inspection
Row 2, Column 0
Number or area or items to be inspection
Row 3, Column 0
Number or area or items to be inspection
Row 4, Column 0
Number or area or items to be inspection
Row 5, Column 0
Number or area or items to be inspection
Row 6, Column 0
Number or area or items to be inspection
Row 7, Column 0
Number or area or items to be inspection
Row 8, Column 0
1 of 9
20
Do you experience any of the following issues?:* This field is required.For example: do you see any sign of paint peeling off, cracking, or swelling on your baseboard or wood floor?
I don't have any window issues
Trim paint peeling off or cracking
Water stain on windows (they have a brown colour)
Caulking cracking
Baseboard cracking or swelling
Wood floor swelling or some seam are larger than others
Excessive frost to the point that you cannot open the window or need to use towels
Dripping water from the top of the window or door
Wet carpet or flooring
Seasonal problems with locking or closing the window or the door
Foggy glass
Water stains on ceiling
I don't know
Other
21
Which type of windows do you have?* This field is required.
Vinyl Sliders
Vinyl Casement
Old Aluminum Sliders
Modern Wood inside - Aluminum outside
Wood inside and outside
Other
22
What kind of exterior finish does your home have?* This field is required.
Stucco
EIFS (foam cover with acrylic finish similar to stucco finish)
Vinyl Siding
James hardie or fibercement
Metal or Aluminum
Cedar siding
Brick
Stone
Other
23
Do you suspect a roof, balcony or deck leak??* This field is required.
YESNO
24
Which year did you purchase your apartment?* This field is required.Only number, if you don't know the exact year write you best guess
25
Which year did you purchase your apartment?* This field is required.Only number, if you don't know the exact year write you best guess
26
Do you experience a leak in any of the following areas?Add the number or Items, Walls or Rooms you would like us to inspect. You can select multiple areas per each of the floors you want us to inspect.
# Window
# Door
# Foundation Wall
# Floor areas
# Wall
# Deck
# Ceiling or Concrete Slab
Apartment Main Floor
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Row 0, Column 5
Row 0, Column 6
Second Floor
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
Row 1, Column 5
Row 1, Column 6
Ground Floor
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
Row 2, Column 5
Row 2, Column 6
Parkade
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
Row 3, Column 5
Row 3, Column 6
Common area - Storage
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
Row 4, Column 5
Row 4, Column 6
Apartment Main Floor
Second Floor
Ground Floor
Parkade
Common area - Storage
# Window
Row 0, Column 0
# Door
Row 0, Column 1
# Foundation Wall
Row 0, Column 2
# Floor areas
Row 0, Column 3
# Wall
Row 0, Column 4
# Deck
Row 0, Column 5
# Ceiling or Concrete Slab
Row 0, Column 6
# Window
Row 1, Column 0
# Door
Row 1, Column 1
# Foundation Wall
Row 1, Column 2
# Floor areas
Row 1, Column 3
# Wall
Row 1, Column 4
# Deck
Row 1, Column 5
# Ceiling or Concrete Slab
Row 1, Column 6
# Window
Row 2, Column 0
# Door
Row 2, Column 1
# Foundation Wall
Row 2, Column 2
# Floor areas
Row 2, Column 3
# Wall
Row 2, Column 4
# Deck
Row 2, Column 5
# Ceiling or Concrete Slab
Row 2, Column 6
# Window
Row 3, Column 0
# Door
Row 3, Column 1
# Foundation Wall
Row 3, Column 2
# Floor areas
Row 3, Column 3
# Wall
Row 3, Column 4
# Deck
Row 3, Column 5
# Ceiling or Concrete Slab
Row 3, Column 6
# Window
Row 4, Column 0
# Door
Row 4, Column 1
# Foundation Wall
Row 4, Column 2
# Floor areas
Row 4, Column 3
# Wall
Row 4, Column 4
# Deck
Row 4, Column 5
# Ceiling or Concrete Slab
Row 4, Column 6
1 of 5
27
How many areas do you want us to inspect?* This field is required.Add the number of windows, walls or rooms you want us to inspect. If you select a room, please also add the number of windows and doors inside the room.
Number or area or items to be inspection
# Rooms
Row 0, Column 0
# Windows
Row 1, Column 0
# Doors
Row 2, Column 0
# Walls
Row 3, Column 0
# Skylight
Row 4, Column 0
# Decks
Row 5, Column 0
# Parkade
Row 6, Column 0
# Foundation Wall
Row 7, Column 0
# of Room's Ceiling
Row 8, Column 0
# Concrete Slab
Row 9, Column 0
# Rooms
# Windows
# Doors
# Walls
# Skylight
# Decks
# Parkade
# Foundation Wall
# of Room's Ceiling
# Concrete Slab
Number or area or items to be inspection
Row 0, Column 0
Number or area or items to be inspection
Row 1, Column 0
Number or area or items to be inspection
Row 2, Column 0
Number or area or items to be inspection
Row 3, Column 0
Number or area or items to be inspection
Row 4, Column 0
Number or area or items to be inspection
Row 5, Column 0
Number or area or items to be inspection
Row 6, Column 0
Number or area or items to be inspection
Row 7, Column 0
Number or area or items to be inspection
Row 8, Column 0
Number or area or items to be inspection
Row 9, Column 0
1 of 10
28
Do you experience any of the following issues?:* This field is required.For example: do you see any sign of paint peeling off, cracking, or swelling on your baseboard or wood floor?
Parkade or Concrete Crack or Leaking
Trim paint peeling off or cracking
Water stain on windows (they have a brown colour)
Caulking cracking
Baseboard cracking or swelling
Wood floor swelling or some seam are larger than others
Excessive frost to the point that you cannot open the window or need to use towels
Dripping water from the top of the window or door
Wet carpet or flooring
Seasonal problems with locking or closing the window or the door
Odours
Water stains on ceiling
I don't know
Other
29
Do you notice any leaks or frost under specific weather conditions?* This field is required.You can select multiple answers
Never seen leaking
Summer
Heavy rain
Regular rain
Winter months
Extreme cold
After melt-down
Leaks all the time
I don't know
Other
30
Which year period was built?* This field is required.
2018-2023
2010-2017
2000-2015
1980-1999
Other
31
What type of inspection do you need?* This field is required.Select one or more, if you don't know what type of inspection you will need select "other". Our technician will determine the type of inspection base on your answers.
Window or Door Leak Investigation
Parkade Inspection
Air-tightness Test - Door Blower Test
Ceiling Leak Investigation
Building Envelope Inspection
Water Test - Infrared Scan
Roof Inspection
Foundation Inspection
Plumbing Leak Investigation
Insulation Inspection
Concrete Damage
Deck Leak Inspection
Stucco or Siding Leak Investigation
Frost or Cold room Inspection
Preventative or Annual Building Envelope Inspection
Odours Investigation
Aerial Drone with Infrared Camera Survey
Air Quality Test for Mould or Asbestos
Other
32
Please provide the name of the property management company?* This field is required.If this condo doesn't have property management, enter none.
33
What's the name of this Building or Condo Corporation number?* This field is required.
34
Are you a member of the board?* This field is required.
YESNO
35
If the individual responsible for the payment of this inspection is not yourself, please provide their contact information.
Name
Last name
Address
City
Please enter your email
Please enter phone number
36
Please provide the information of the President of the Corporation or Condominium Board.
Name
Last name
Address
City
Please enter your email
Please enter phone number
37
Do you suspect a roof, balcony or deck leak??* This field is required.
YESNO
38
Which year period was built?* This field is required.
2018-2023
2010-2017
2000-2015
1980-1999
Other
39
Do you experience any of the following issues?:* This field is required.For example: do you see any sign of paint peeling off, cracking, or swelling on your baseboard or wood floor?
Parkade or Concrete Crack or Leaking
Trim paint peeling off or cracking
Water stain on windows (they have a brown colour)
Caulking cracking
Baseboard cracking or swelling
Wood floor swelling or some seam are larger than others
Excessive frost to the point that you cannot open the window or need to use towels
Dripping water from the top of the window or door
Wet carpet or flooring
Seasonal problems with locking or closing the window or the door
Odours
Water stains on ceiling
I don't know
Other
40
Please provide the name of the property management company?If this question doesn't apply move to next.
41
How many areas do you want us to inspect?* This field is required.Add the number of windows, walls or rooms you want us to inspect. If you select a room, please also add the number of windows and doors inside the room.
Number or area or items to be inspection
# Rooms
Row 0, Column 0
# Windows
Row 1, Column 0
# Doors
Row 2, Column 0
# Walls
Row 3, Column 0
# Skylight
Row 4, Column 0
# Decks
Row 5, Column 0
# Parkade
Row 6, Column 0
# Foundation Wall
Row 7, Column 0
# of Room's Ceiling
Row 8, Column 0
# Concrete Slab
Row 9, Column 0
# of SqFt
Row 10, Column 0
# of Linear Ft
Row 11, Column 0
# Rooms
# Windows
# Doors
# Walls
# Skylight
# Decks
# Parkade
# Foundation Wall
# of Room's Ceiling
# Concrete Slab
# of SqFt
# of Linear Ft
Number or area or items to be inspection
Row 0, Column 0
Number or area or items to be inspection
Row 1, Column 0
Number or area or items to be inspection
Row 2, Column 0
Number or area or items to be inspection
Row 3, Column 0
Number or area or items to be inspection
Row 4, Column 0
Number or area or items to be inspection
Row 5, Column 0
Number or area or items to be inspection
Row 6, Column 0
Number or area or items to be inspection
Row 7, Column 0
Number or area or items to be inspection
Row 8, Column 0
Number or area or items to be inspection
Row 9, Column 0
Number or area or items to be inspection
Row 10, Column 0
Number or area or items to be inspection
Row 11, Column 0
1 of 12
42
What type of inspection do you need?* This field is required.Select one or more, if you don't know what type of inspection you will need select "other". Our technician will determine the type of inspection base on your answers.
Window or Door Leak Investigation
Energy Audit (blower door test)
Air-tightness Test - Door Blower Test
Ceiling Leak Investigation
Building Envelope Inspection
Water Test - Infrared Scan
Roof Inspection
Foundation Inspection
Plumbing Leak Investigation
Insulation Inspection
Framing or Rotting Inspection
Deck Leak Inspection
Stucco or Siding Leak Investigation
Frost or Cold room Inspection
Preventative or Annual Building Envelope Inspection
General Infrared Thermography Scan
Aerial Drone with Infrared Camera Survey
Air Quality Test
Other
43
How many floors is this building?* This field is required.
44
How many square feet is your building or area you want us to inspect?* This field is required.
45
Which side of your building do you want us to inspect?* This field is required.
I don't know
East
West
North
South
Front
Back
Left Side
Right Side
Other
46
What type of exterior finish is on your building?* This field is required.
Stucco
EIFS (foam cover with acrylic finish similar to stucco finish)
Vinyl Siding
James hardie or fibercement
Metal or Aluminum
Cedar siding
Brick
Stone
Panel or Steel
Other
47
Do you notice any leaks or frost under specific weather conditions?* This field is required.You can select multiple answers
Summer
Heavy rain
Regular rain
Winter months
Extreme cold
After melt-down
Never seen leaking
Leaks all the time
I don't know
Other
48
What type of building do you own?* This field is required.
Standalone Building
Attached Building or Condo
Industrial Building above 20,000 sqft
Large Mall or Street Mall
Underground Parkade
Above ground Parkade
Multi-Units, Condo
Mobile Structure
Oil-Field Structure
Concrete Structure
Other
49
Is there any additional information you would like to include?
Huge
Large
Normal
Small
Ok
Ok
50
Do you suspect a roof or deck leak?
YESNO
51
Which side of your roof would you like us to inspect?* This field is required.
East
West
North
South
Front
Back
Left Side
Right Side
Garage
I don't Know
Other
52
How old is your roof?* This field is required.
53
Do you have any equipment on your roof?* This field is required.Hvac, hot tub, livable roof top deck, mechanical equipments, fire place, sitting area etc..
54
Do you have any chimney stack on your roof?* This field is required.
55
Have you replace your roof in the last 5 years?* This field is required.
YESNO
56
Is your roof accessible through a hatch or set of stairs?* This field is required.
YESNO
57
What type of materials is your roof or deck?* This field is required.
Asphalt Shingles
Metal
Clay or Cement Tile
Rubber
Cedar or Pine
Flat Torch down
EPDM
TPO
I don't know
Gravel
Other
58
Upload 4 photos like the one in this sample.Close-up photos only are insufficient for us to prepare an estimate for the inspection.
59
Upload your first file here* This field is required.If you don't have a photo just add any photos and submit your photos later by emailing to info@leakdoctor.ca
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
60
Upload your first file here* This field is required.If you don't have a photo just add any photos and submit your photos later by emailing to info@leakdoctor.ca
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
61
Upload your first file hereIf you don't have a photo just add any photos and submit your photos later by emailing to info@leakdoctor.ca
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
62
Upload your first file hereIf you don't have a photo just add any photos and submit your photos later by emailing to info@leakdoctor.ca
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
63
Add some more information about the area that you would like us to inspect:Anything else that we should know in order to prepare the cost for the inspection?
64
Please verify that you are human* This field is required.
Should be Empty: