| Item | Check | Notes |
|---|---|---|
| Visible mold present | ||
| Musty odors detected | ||
| Damaged or stained walls/ceilings | ||
| Leaking pipes/plumbing | ||
| Excess moisture or humidity | ||
| Poor ventilation |
| Area | Mold Observed | Notes |
|---|---|---|
| Basement/Crawlspace | ||
| Kitchen | ||
| Bathroom(s) | ||
| Attic | ||
| HVAC/ductwork | ||
| Other (specify): |