Mould Assessment & Quotation Form

Mould Assessment & Quotation Form
Thank you for choosing MouldGuard. Please complete this short form to help us understand your property and the issues you're experiencing. The more detail you provide, the more accuarte your quotation will be.

If you already know which service you need, fill out Contact Details & Hazard Severity & Response Times sections then scroll down to 'If You Know What You Require' section.
Contact Details
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
example@example.com
HomeownerTenantLandlordAgent/Other
YesNo
Hazard Severity & Response Times

Pease let us know if you believe the mould issue at your property poses a significant or emergency hazard. This helps us prioritise your booking and ensure your property remains safe and compliant under the Housing Health & Safety Rating System (HHSRS) and Awaab’s Law. Emergency Hazard: These situations require immediate attention where mould is causing or likely to cause serious health risks or property damage. Booking will be scheduled within 24 hours. If confirmed as an emergency, safety work will be carried out immediately to make the area safe. Significant Hazard: These cases involve substantial mould growth or ongoing damp conditions that may affect health or building materials if left untreated. Booking will be arranged within 10 days. The issue will be fully investigated, with a written summary provided and safety work completed within 5 working days of confirmation.
Significant Hazard (requires investigation and safety work within 5 working days)Minor / Low Risk (no immediate safety concern)
Infants / young children (under 5)Elderly occupants (65+)Pregnant occupantImmunocompromised individualAsthma suffererKnown respiratory conditionKnown mould allergy or sensitivityAutoimmune conditionNo known vulnerabilitiesPrefer not to say
If you are unsure whether damp or mould may be affecting the health of any occupants, you may find it helpful to review the NHS guidance on damp and mould in the home, available here:

https://www.nhs.uk/common-health-questions/lifestyle/can-damp-and-mould-affect-my-health

This information is provided for general awareness only. We do not offer medical advice or diagnoses, and occupants should seek advice from a qualified healthcare professional if symptoms persist or worsen.
Previous Survey or Report

If you've already had a survey carried out and would like us to provide a quotation based on that assessment, please upload the relevant information below.
YesNo
If yes, please upload any of the following (if available). Survey report or inspection notes, floor plans or drawings, recommendations or specifications from the surveyor.

Cancelof
About Your Property
DetachedSemi-detachedTerraced HouseFlat / ApartmentOther
Other (please specify)
Pre - 19001900 - 19301930 - 19701970 - 20002000 - PresentUnsure
Solid WallCavity WallTimber FrameOther
Other (please specify)
Number of Floors
YesNo
Other (please specify)
Areas Affected by Mould
Living RoomDining RoomKitchenUtilityW/CHallway/LandingBathroomBedroomsLoft / AtticOther
Other (please specify)
Describe each affected area
Type & Appearance of Mould
BlackGreenWhiteOrangeMixed
PowderyFluffySlimyStaining only
When did you first notice it?
YesNo
If yes, what was done and when?
Contributing Factors
YesNo
YesNo
YesNoHistorical issues now repaired
YesNo
DailyOccasionallyRarelyNone
YesNo
YesNo
Kept open regularlyRarely opened
Ventilation
BathroomKitchenUtilityW/CNone
YesNoUnsure
YesNoUnsure
Approximate age of fans (if known):
YesNo
YesNo
Additional comments about ventilation? (example: ''Bathroom fan runs with light but cuts off too soon - moisture builds up.'')
Insulation & Energy Efficiency
YesNoUnsure
Cavity filledInternal wall insulationExternal wall insulationNone / Unsure
Any rooms noticeably colder than others?
YesNo
Single glazedDouble glazedTriple glazed
Additional comments on insulation?
Photographs

Please upload clear photos of each affected area. Include close ups and wide shots for context.
File Upload

Cancelof
If there's else you feel may help us understand the issue, please include it below:
Optional Fixed Treatment Services

Below are our fixed mould treatment services based on the typical size and severity of mould issues within a property. You are welcome to select a service if one appears suitable for your situation, however this is not required. If you are unsure, our team will review the information provided and recommend the most appropriate treatment following assessment. Optional add-on services can also be selected where additional preventative or ventilation improvements may be beneficial.
Essential Mould Treatment Section

This service is suitable for localised mould caused by condensation such as window reveals, wall corners, ceiling edges and small mould patches.
Essential Mould Treatment – 1 Room (Localised mould remediation within one room affected by condensation-related mould growth.Scope includes HEPA vacuum cleaning of contaminated surfaces, professional mould removal treatment, and application of an anti-microbial barrier to inhibit regrowth. Treatment targets common areas such as window reveals, external wall corners, and small mould patches typically found in bedrooms or living areas. Treatment includes a diagnostic review of the affected area with preventative advice and a summary report outlining the likely cause and recommendations to help reduce future mould risk)Essential Mould Treatment – 2 Rooms (Localised mould remediation treatment within up to two rooms affected by condensation-related mould growth.Works include HEPA vacuum spore removal cleaning, professional mould removal treatment, anti-microbial barrier protection, and localised ULV antimicrobial misting to treated areas to reduce airborne spores. Treatment includes a diagnostic review of the affected areas along with preventative advice and a summary report outlining the likely causes and recommendations for long-term mould prevention)Essential Mould Treatment – 3 Rooms (Localised mould remediation treatment across up to three rooms affected by condensation-related mould growth.Works include HEPA vacuum cleaning of affected surfaces, professional mould removal treatment, anti-microbial barrier application, and ULV antimicrobial misting to treated areas to assist with airborne spore reduction and indoor air quality improvement. Treatment includes a diagnostic review of the affected areas with preventative advice and a summary report outlining likely causes and recommendations for long-term mould prevention)
Mould Remediation & Restoration Section

This service includes professional mould remediation followed by mould-resistant decorating to restore affected walls and ceilings.
Mould Remediation & Decorating – 1 Room (Full mould remediation and restoration treatment within one affected room.Works include site risk assessment, surface preparation and protection, HEPA vacuum cleaning (pre and post treatment), deep clean mould remediation treatment, anti-microbial barrier protection, and ULV antimicrobial misting to reduce airborne spores. Decorating works include stain-blocking primer application followed by a mould-resistant paint system to affected walls and ceilings, restoring the treated room to a clean and protected condition)Mould Remediation & Decorating – 2 Rooms (Full mould remediation and restoration works across two affected rooms.Scope includes HEPA vacuum spore removal cleaning, deep clean mould remediation treatment, anti-microbial barrier protection, and ULV antimicrobial misting treatment to reduce airborne mould spores. Decorating works include stain-blocking primer application and mould-resistant protective paint coating to restore treated walls and ceilings)Mould Remediation & Decorating – 3 Rooms (Full mould remediation and restoration works across three affected rooms.Works include extended HEPA cleaning, deep clean mould remediation treatment, anti-microbial barrier protection, and ULV antimicrobial fogging to reduce airborne spores throughout treated areas. Decorating works include stain-blocking primer and application of a mould-resistant paint system to restore affected walls and ceilings)
Whole Property Mould Remediation

Whole property mould remediation including antimicrobial treatment and airborne spore reduction.
Whole Property Mould Remediation – 1 Bedroom Property (Comprehensive mould remediation treatment throughout a one-bedroom property.Works include full remediation risk assessment, HEPA vacuum cleaning throughout treated areas, deep clean mould remediation treatment, anti-microbial barrier protection, and ULV antimicrobial misting to reduce airborne spores. Environmental stabilisation recommendations will also be provided to assist with long-term moisture and mould management)Whole Property Mould Remediation – 2 Bedroom Property (£1,495.00)Comprehensive mould remediation treatment throughout a two-bedroom property.Works include HEPA vacuum spore removal cleaning, deep clean mould remediation treatment, anti-microbial barrier protection, and whole-property ULV antimicrobial misting to reduce airborne spores and improve indoor air quality.Environmental stabilisation recommendations will be provided to assist with long-term mould prevention.Whole Property Mould Remediation – 3 Bedroom Property (Comprehensive mould remediation treatment throughout a three-bedroom property.Works include HEPA vacuum cleaning of contaminated surfaces, deep clean mould remediation treatment, anti-microbial barrier protection, and full ULV antimicrobial fogging treatment to reduce airborne mould spores throughout the property. Environmental stabilisation recommendations will be provided to support long-term moisture control and mould prevention)
Optional Ventilation & Prevention Improvements Add-Ons

The options below are optional add-on services that can be selected alongside mould treatment where additional works may be beneficial. These services may include preventative treatments, ventilation improvements, protective coatings, or insulation-related measures depending on the conditions within the property. Add-ons can help enhance the effectiveness of mould remediation works and support longer-term management of moisture, surface temperatures, and environmental conditions that contribute to mould growth.
Passyfier Wall Vent KitHumidistat Controlled Extractor FanPositive Input Ventilation (PIV) Unit InstallationSingle Room Heat Recovery (MVHR) Unit Installation
Quantity:
Thermal Internal Wall Insulation (TIWI)
How many m2?
Mould Resistant Paint Application
How many m2?
Anti-Mould Window Sealant Reinstatement
How many windows?
Mould Remediation & Moisture Management Survey

If you are unsure about the extent or cause of the mould issue within your property, you may request a professional mould remediation and moisture management survey. During the survey, our technician will carry out an on-site assessment to identify the likely causes of mould growth, which may include condensation, ventilation deficiencies, insulation issues, or building defects allowing moisture ingress.The survey may include moisture readings, environmental assessment, ventilation review, and inspection of affected areas. Following the inspection, a report will be provided outlining the findings along with recommended remedial measures and guidance on long-term mould prevention.
YesNo
Declaration

By submitting this form, you confirm the information provided is accurate to the best of your knowledge. A member of our team will review your submission and contact you within 24 hours with your quotation.
Signature
Should be Empty:

Mould Assessment & Quotation Form

Contact Details

Hazard Severity & Response Times

Previous Survey or Report

About Your Property

Areas Affected by Mould

Type & Appearance of Mould

Contributing Factors

Ventilation

Insulation & Energy Efficiency

Photographs

Optional Fixed Treatment Services

Essential Mould Treatment Section

Mould Remediation & Restoration Section

Whole Property Mould Remediation

Optional Ventilation & Prevention Improvements Add-Ons

Mould Remediation & Moisture Management Survey

Declaration