Basement Moisture & Insulation Survey
General Information
Address
Date
Surveyor Name
Basement Overview
Basement Type
Full
Partial
Crawl Space
Walkout
Unknown
Approximate Basement Area (sq. ft.)
Moisture Assessment
Signs of Moisture Noted
Dampness
Water Stains
Mold/Mildew
Efflorescence
None
Potential Moisture Sources
Location(s) of Moisture Observed
Insulation Assessment
Insulation Present
Yes
No
Unknown
Type of Insulation
Fiberglass Batt
Spray Foam
Foam Board
Blown-in
Other
Location of Insulation
Walls
Ceiling
Rim Joist
Floor
Insulation Condition/Issues
Additional Notes/Comments