QUESTIONNAIRE
Contact Details
First Name:
Last Name:
Phone:
Mobile:
Email:
Collection Date:
Delivery Date:
Place your moving from
Type of Home:
Number of Bedrooms:
Driveway Access:
Walking distance from truck to house:
Will a lift be used:
Yes
No
Will stairs be used and how many:
Yes
No
Number:
Which floor or level do you live on:
Street No:
Street Name:
Suburb:
City:
State:
Post Code:
Place your moving to
Type of Home:
Number of Bedrooms:
Driveway Access:
Walking distance from truck to house:
Will a lift be used:
Yes
No
Will stairs be used and how many:
Yes
No
Number:
Which floor or level do you live on:
Street No:
Street Name:
Suburb:
City:
State:
Post Code:
Please give an accurate and complete inventory of items to be moved.