Title Page
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Site conducted
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Conducted on
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Prepared by
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Location
Untitled Page
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Clients details mr mrs miss
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Clients full name
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Clients phone numbers
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Clients email
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Client’s date of birth
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Clients address
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Clients ni number
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Proof of address
Tenancy
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Tenancy
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Property type
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Who is on tenancy
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Copy of tenancy
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Date tenancy started
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How much is the rent a month
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Are you in areas with rent
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Landlord name
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Landlord phone number
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Landlord email
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Landlord address
Defect details
Location 1
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Describe the property’s defects
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Have you reported ( date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Describe how it has effected your health
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Has any of your belongings been effected (cost)
Location 2
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Location 2
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Describe property defects
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Have you reported (date)
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Response from landlord
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How many times reported to landlord
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How has the defects effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Describe how it has effected your health
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Has any of your belongings been effected (cost)
Location 3
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Describe property defects
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Have you reported ( date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Describe how it has effected your health
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Has any of your belongings been effected (cost)
Location 4
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Describe property defects
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Have you reported (date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Describe how it has effected your health
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Has any of your belongings been effected (cost)
Location 5
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Describe property defects
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Have you reported ( date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Describe how it has effected your health
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Have you sort medical attention
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Has any of your belongings been effected (cost)
Location 6
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Describe property defects
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Have you reported ( date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Has any of your belongings been effected (cost)
Location 7
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Describe property defects
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Have you reported ( date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Has any of your belongings been effected (cost)
Location 8
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Describe property defects
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Have you reported ( date)
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Response from landlord
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How many times reported to landlord
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How has this effected your daily life
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Describe how it has effected your health and family members
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Have you sort medical attention
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Has any of your belongings been effected (cost)
Friends and family
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Name
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Phone number
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Name
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Phone number
