New Mobility Statement Form

Submitted By*

Submitted By - Other

Destination*

Villa Name - Algarve*

Villa Name - Amalfi Coast*

Villa Name - Andalucia*

Villa Name - Bodrum*

Villa Name - Carribean*

Villa Name - Corfu*

Villa Name - Corsica*

Villa Name - Costa Blanca*

Villa Name - Costa Brava*

Villa Name - Costa Calida*

Villa Name - Costa Del Sol*

Villa Name - Costa Dorada*

Villa Name - Costa Verde*

Villa Name - Crete*

Villa Name - Dalaman*

Villa Name - Dubrovnik*

Villa Name - Florida - Gulf Coast*

Villa Name - Florida - Orlando*

Villa Name - French Riviera*

Villa Name - Fuerteventura*

Villa Name - Gozo*

Villa Name - Gran Canaria*

Villa Name - Halkidiki*

Villa Name - Ibiza*

Villa Name - Ionian Coast*

Villa Name - Istria*

Villa Name - Kefalonia*

Villa Name - Kos*

Villa Name - Lanzarote*

Villa Name - Larnaca Region*

Villa Name - Lefkas*

Villa Name - Madeira*

Villa Name - Mallorca*

Villa Name - Malta*

Villa Name - Menorca*

Villa Name - Montenegro*

Villa Name - Paphos Region*

Villa Name - Paxos*

Villa Name - Peloponnese*

Villa Name - Provence*

Villa Name - Puglia*

Villa Name - Rhodes*

Villa Name - Sardinia*

Villa Name - Sicily*

Villa Name - Skiathos*

Villa Name - Skopelos*

Villa Name - Split Region*

Villa Name - Tenerife*

Villa Name - Tuscany*

Villa Name - Zakynthos*

Villa Name - Other*

Can you confirm that the name you have entered os an exact match to the villa name in Salesforce?*

(System) Villa Name Mapped

What is the width (cm) of any paths to access the villa?*

Are there steps into the villa?*

How many steps are there?*

Is there a ramp?*

Front door width (cm)?*

Width(s) of any other doors to access pool are (cm)?*

Is there a ramp to access the pool from the villa?*

What is the width (cm of any paths from villa to pool?*

Is the ground uneven/flat?*

Give as much information as possible

Does the pool have roman steps?*

Is the villa in an exceptionally hilly/mountainous area?*

Comments on outside space (i.e. ground uneven/flat, steps down to the pool etc.)*

Give as much information as possible

Are there any changes in height/internal steps on the ground floor?*

Please provide details such as how many, height, which rooms they lead from and to etc*

Is there a bedroom and a bathroom on the ground floor?*

What is the width (cm) of the widest bedroom door on the ground floor?*

Which bedroom is it? (ground)*

What is the width (cm) of the widest bath/shower room door on the ground floor?*

Which bath/shower room is it?*

Ground floor bathroom type*

Is there another floor in the villa?

Number of steps to other floor*

Door width (cm) of the widest bedroom door on the other floor?*

Which bedroom is it? (first)*

Door width (cm) of the widest bath/shower room door on the other floor?*

Which bath/shower room is it? *

Other floor bathroom type*

Door width (cm) into the kitchen/dining area*

Door width (cm) into the lounge area*

Solmar Criteria for Restricted Mobility:

- Access into a main living area, bedroom AND bathroom on the ground floor

- No more than 3 steps to this access

- Minimum door widths to this access, bedroom and bathroom of 80cm

- No more than 3 steps to access the pool/terrace area.

Does the villa meet all the above criteria?*

Additional Notes

Mobility Statement

Arriving and getting into the villa

Getting out of the villa

Inside the villa

Suitability