Damp and mould enquiry Your details Name * Address * Postode * Email address * Telephone number * Mobile phone number * Are you a: * Shared owner Leaseholder Any other rental customer Does anyone living in your home, including yourself, have any disabilities or vulnerabilities? * Yes No If you’ve answered yes, please provide details of your disabilities or vulnerabilities. Which rooms are affected by condensation, damp or mould? * Kitchen Bathroom Bedroom Living room Hallway Other If you've selected other, please specify which room is affected On which floor of your home is the suspected damp or mould found? * Basement Ground First Second Third Fourth Other If you've selected other, please specify which floor Are there visible stains or watermarks on any walls or ceilings? * Yes No If you’ve answered yes to the above question, what’s found above or next to the staining? For example, is there another flat or bathroom above that could be the source of the water damage? Is there visible crumbling or bubbling of plaster? * Yes No Is there visible peeling of paint? * Yes No If the damp or mould is at floor level, are there any signs of damage to the flooring? * Yes No Is there condensation on any of the walls or ceilings? * Yes No Is there condensation on windows or doors? * Yes No Is there any mould growth around windows, doors, corners of the walls or ceiling? * Yes No Is there visible mould anywhere else in the home? * Yes No Are you aware of any leaks either inside or outside the property? * Yes No For all locations selected above, please upload photos of the damp, mould or condensation that’s in your home. * Captcha