Damp and Mould - Quick Check
This short form helps us understand the problem in your home and decide what support or inspection may be needed. You do not need to know what is causing the issue.
Your Name
Phone Number
Email Address
Is this your main home?
Yes
No
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About your home
Address
Type of home
House
Flat / Maisonette
Room in a shared home
How long have you lived here?
Less than 6 months
6-12 months
Over a year
What problems are you noticing?
Black or coloured mould on walls or ceilings
Water running down on windows
Damp patches or marks on walls or ceilings
Paint or wallpaper peeling
A damp or musty smell
Rooms feeling very cold or hard to heat
Where is this happening?
Bedroom(s)
Living room
Kitchen
Bathroom
More than one room
How long has the problem been there?
Less than 3 months
3-12 months
More than a year
Not sure
Is it worse at certain times?
In winter
After heavy rain
All the time
Not sure
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A few simple questions
There are no right or wrong answers.
Do you have extractor fans in the kitchen or bathroom?
Yes
No
Not sure
Does your home have heating that works in all rooms?
Yes
No
Not sure
Have any works been done recently (like new windows or insulation)?
Yes
No
Not sure
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Your Health and Safety (Optional)
Is anyone in the home affected by this problem? (for example breathing problems, asthma, or allergies)
Yes
No
Prefer not to say
Photos (optional but helpful)
Browse Files
Drag and drop files here
Choose a file
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What happens next
We will look at the information you provide. We may contact you to ask a few questions or arrange a visit. This form does not affect your tenancy and is not about blame
Consent
*
I agree to be contacted about this damp and mould enquiry
Important to Know
Damp and mould can have many causes, including the building itself. You do not need to know what the cause is. This check is about understanding the problem and finding the right next step.
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