SHS Field Assessment Tool

1 · Client

2 · Home

3 · Rooms

4 · Appliances

5 · Systems

Select Client

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1 · Client

2 · Home

3 · Rooms

4 · Appliances

5 · Systems

Home Details

Street Address *

City

State

Zip

Home Type

Year Built

Sq Ft

Bedrooms

Bathrooms

Lot Size (acres)

Membership Tier

Home Style

Notes

1 · Client

2 · Home

3 · Rooms

4 · Appliances

5 · Systems

Rooms

Add Room

Room Name *

Room Type

Floor

Length (ft)

Width (ft)

Ceiling Height (ft)

Flooring

Wall Color

Notes

1 · Client

2 · Home

3 · Rooms

4 · Appliances

5 · Systems

Appliances & Items

Add Appliance / Item

Appliance Name *

Room

Category

Condition

Good

Fair

Poor

Manufacturer

Model #

Serial #

Install Date

Last Service

Est. Value ($)

Warranty Expiration

Condition Rating (1–10)

Notes

1 · Client

2 · Home

3 · Rooms

4 · Appliances

5 · Systems

Home Systems

✅

Assessment Complete

0

Rooms

0

Items

0

Systems

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