MDH Home Self-Assessment
The purpose of this assessment is to address the needs of the homes in the McDougall-Hunt area. This will help to determine the priority of resources needed to help restore the condition of the homes in our neighborhood. We will use this information to best determine which resources to seek out.
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Email *
Name *
Phone Number *
Address *
Do you own or rent your home? *
How much do you pay monthly for your mortgage or rent? *
Exterior Conditions
To the best of your knowledge, please check if the following conditions are currently good, okay, or bad.
Good
Okay
Bad
Roof (damage, missing shingles, sagging)
Chimney (mortar issues, flashing)
Gutters (rusted, detached, leaking, debris)
Foundation (cracked, gaps, crumbles)
Exterior façade (cracks, damage, paint)
Driveway & sidewalks (cracked? leveled?)
Landscaping (trees, lawn, fencing, etc)
Porches (sagging, rotting wood, step issues)
Exterior Condition Notes
Please include any additional information for any of the conditions above in this space (water damage, location of issue, material, etc)
Exterior Test & Try
Yes
No
Notes (include/specify on next question)
Walk around the perimeter. Does the ground slope away from the house?
Walk around the yard. Is the ground level?
Does it look like rainfall will fall away from the foundation?
Exterior Test & Try Notes
Please include any additional notes related to the test & try evaluation in this section.
Interior Conditions
To the best of your knowledge, please check if the following conditions are currently good, okay, or bad.
Good
Okay
Bad
Ceilings (cracks, peeling paint, sagging, brown spots, water damage)
Walls (cracks, peeling paint, bulging)
Floors (scratches/stains, squeak, level)
Doors (close properly? Lock? Hardware?
Windows (Functioning? Painted shut? etc)
Electrical outlets in each room?
Lighting fixture and fans?
Heat/air source in each room?
Basement (foundation cracks, water stains, mold)
Attic/crawl space (damage, no insulation, etc)
Interior Condition Notes
Please include any additional notes related to the interior evaluation in this section.
Interior Test & Try
Yes
No
Notes (include/specify on next question)
Turn on every light switch. Do they work?
Turn on every faucet. Is there good water pressure?
Flush toilet(s). Do they seem to work?
Run the water for a few minutes. Does it drain quickly?
Turn up the thermostat -- Does the system respond? You may need to go to the basement to see if the furnace/boiler kicked on.
Turn each appliance on/off. Do they work?
Look behind furniture or stacked boxes. Is there hidden damage?
Sniff? Do you smell dampness, mold, or other odors?
Is there evidence of insect or rodent infestation?
Do windows open easily? Are they painted shut?
Systems
Good
Okay
Bad
Notes (age/last update, issues, model -- include in Notes section in next question)
Water heater (inspection tags, turn on, rust near supply pipes)
Heating system-furnace/boiler/other (age, inspection tags, turn on, boiler - any rust near pipes?)
Plumbing (copper, pex, galvanized steel, cast iron? Condition of potable, drain, waste and vent pipes)
Electrical (panel, circuit breakers? Types of wiring? Service cable integrity)
Systems Notes (please include the age (if known) for any systems mentioned above in the home
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