Please input your answers from the intake form below. Once you click submit, your answers will be submitted to MPI and the results scored and report prepared manually. Within five days of receipt, we will send out by e-mail, a report of your risk score with opinions and an explanation, as well as specific recommendations of corrections that should be performed to minimize this risk.
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Exterior 1. Please mark the primary type of exterior siding on the home:
  a. Masonry cladding (brick,block) - one layer thick
b. Structural masonry - two layers thick
c. Vinyl
d. Aluminum
e. Stucco
f. EFIS - Dryvit
g. Wood
h. Asphalt
i. Other
Exterior 2. If Dryvit is on exterior, are there openings in the Dryvit at junctions of projections or other?
  a. Yes
b. No
Exterior 3. Approximate age of the building in years:
  a. 0-5
b. 6-10
c. 11-20
d. 21-30
e. Over 30
Exterior 4. Number of windows in the unit:
  a. <8
b. 8-12
c. >12
Exterior 5. Window fit on exterior?
  a. Inset from exterior wall
b. Exterior Trim with caulk and flashing
c. Other
Exterior 6. Exterior window sills
  a. Pitched down and away
b. Level
c. Pitched toward building wall
Exterior 7. If caulk around windows: condition around windows and junctions:
  a. Sealed well
b. A few openings
c. Dried, cracking, open and peeling out
Exterior 8. Number of floors in the building?
  a. 1-4
b. 5-10
c. 11-15
d. >15
Exterior 9. Is the subject unit on the top floor?
  a. Yes
b. No
Exterior 10. Is the subject unit 2-3 floors below the roof?
  a. Yes
b. No
Exterior 11. Is the unit on the last floor above a below ground level?
  a. Yes
b. No
Exterior 12. Is the unit below grade?
  a. Yes
b. No
Roofing 1. Flat Roof:
  a. Yes
b. No
Roofing 2. If a flat roof, is it: (If a steep roof skip this question)
  a. Built up tar
b. Modified bitumen
c. EPDM (a rolled plastic resin material)
d. Don't know
Roofing 3. Pitched roofing: (steepness)
  a. Low
b. Medium
c. High
Roofing 4. If a pitched roof, is there observable upper and lower venting to the attic area?
  a. Yes
b. No
Roofing 5. Roof style if a pitched roof?
  a. Gable (ends are vertical walls)
b. Hip (ends are sloped like a pyramid)
c. Mansard (sides fold down over the front of the home)
d. Other
Roofing 6. Shingle condition:
  a. A few missing shingles
b. Shingles curled at their edges
c. Shingles shrunk with wide spacing between shingles
d. Laying flat and OK
e. Don't Know
Roofing 7. Shingle Type:
  a. Asphalt/Fiberglass
b. Wood/Cedar
c. Metal
d. Ceramic
e. Rolled
f. Don't know
Roofing 8. Number of roof valleys: (sloped intersections of sloped roof sections)
  a. None
b. 1-3
c. 4-6
d. >6
e. Don't Know
Exterior Drainage 1. Gutters and downspouts:
  a. Internal
b. External
Exterior Drainage 2. If external and a flat roof are there scuppers?
  a. Yes
b. No
Exterior Drainage 3. Gutters pitch toward downspouts? (If only one is wrong, answer No)
  a. Yes
b. No
Exterior Drainage 4. Gutter conditions:
  a. Rusted with holes and openings
b. Open junctions and some gutters hang away from the fascia wall
c. Conditions are OK
Exterior Drainage 5. Downspouts:
  a. 1 missing
b. 2 missing
c. >2 missing
d. None
Exterior Drainage 6. Downspout extensions:
  a. None
b. Up to 1 foot out
c. 1-3 feet out
d. >3 feet out
Exterior Drainage 7a. If downspouts go into the ground, do they drain out to a lower point in the yard
  a. Yes
b. No
c. Unknown
Exterior Drainage 7b. If downspouts go into the ground, do they connect to a municipal sewer?
  a. Yes
b. No
c. Unknown
Exterior Drainage 8a. Soils at the foundation of the building: Are soils negatively pitched at any extensive areas at the foundation wall?
  a. Yes
b. No
Exterior Drainage 8b. If Yes, is the pitch(slope) toward the foundation in any area approximately:
  a. 5-10% negative (slight)
b. 10-25% negative (moderate)
c. 25-50% negative (heavy)
d. >50% negative (extreme)
Topography 1. Is building close to a pond/lake/river?
  a. Yes
b. No
Topography 2. Is the building near the bottom of a hill or hills?
  a. Yes
b. No
Topography 3. Does the land on sides, front and back of the home slope toward the building?
  a. 1 side
b. 2 sides
c. 3 sides
d. >3 sides
Interior Drainage 1. Is there a sump pit in the floor of the basement or crawl space with an operating pump in it?
  a. Yes
b. No
Interior Drainage 2. If yes, are there circular drain holes visible in the lower perimeter wall of the pit?
  a. Yes
b. No
Interior Drainage 3. Is there a back flow preventer check valve present on the PVC discharge pipe above the sump pump? (CORRECTION ISSUE)
  a. Yes
b. No
Interior Drainage 4. Is the sump pit covered?
  a. Yes
b. No
Interior Drainage 5. Is the sump pit in a closet?
  a. Yes
b. No
Interior Drainage 6. If there is a sump pump, is the length of the discharge pipe on the exterior?
  a. 1 foot or less
b. 1-2 feet
c. 3 feet or more
Interior Drainage 7. If there is an ejector pit in the floor, is it uncovered?
  a. Yes
b. No
Interior Drainage 8. If there are window wells in the basement walls, are drains visible on the floors of the window wells? (CORRECTION ISSUE)
  a. Yes
b. No
Interior Drainage 9. If yes to the question above, are the drains clear and open?
  a, Yes
b. No
Interior Drainage 10. Are there cracks in the concrete walls of the basement or crawlspace that have a white powdery material or dried water stains on the concrete? (CORRECTION ISSUE)
  a. Yes
b. No
HVAC 1. What type of HVAC system exists?
  a. Forced Air
b. Hot water (Hydronic) radiators
c. Hydronic in the floors
d. Steam
e. Electric
f. Electric radiant in floors
HVAC 2. Does the unit have its own system or is it shared?
  a. Its own system within the unit
b. Shared system with other units
HVAC 3. Are HVAC filters changed in the unit or in a common area by maintenance staff?
  a. In unit
b. in a common area by maintenance
HVAC 4. If the system is forced air (If the HVAC system is not forced air, skip to the next section.), is it a higher efficiency system that brings in combustion air through a PVC pipe into the furnace from the outside?
  a. Yes
b. No
HVAC 5. If there a forced air furnace in the unit, is there a humidifier attached to it?
  a. Yes
b. No
HVAC 6. Is there central air on the forced air furnace?
  a. Yes
b. No
HVAC 7. Does the air conditioning and/or humidifier condensate drain terminate properly to a drain?
  a. Yes
b. No
HVAC 8. Are visible ductwork and plenum junctions sealed with heat sensitive silver tape?
  a. Yes
b. No
Plumbing 1. Type of water supply lines visible in the unit:
  a. Copper
b. Iron
c. PVC/Plastic
d. other
Plumbing 2. Is there heavy oxidation or build up at junctions of pipes? (usually green or white)
  a. Yes
b. No
Plumbing 3a. Condition of bath/shower surrounds (re: one or more baths has conditions) Are tile walls soft and can be pushed slightly?
  a. Yes
b. No
Plumbing 3b. Condition of bath/shower surrounds (re: one or more baths has conditions) Are there any loose or missing tiles on walls?
  a. Yes
b. No
Plumbing 4a. Floor condition by toilets, are there visible stains and/or moisture?
  a. Yes
b. No
Plumbing 4b. Floor condition by toilets, is there any damaged wood trim behind toilet or vanity next to toilet?
  a. Yes
b. No
Plumbing 5. Water damage/mold under kitchen sink:
  a. Yes
b. No
Plumbing 6: Water damage/ mold under bath vanities?
  a. Yes
b. No
Plumbing 7. Is there a laundry in the unit, or basement, or none?
  a. In Unit
b. In the Basement
c. None in the Building
Plumbing 8. If a laundry is in the unit, where does the dryer vent go to?
  a. Into the living space
b. Into a water chamber
c. into a vent going into the wall or ceiling
d. Not known
Plumbing 9. If a laundry is in the unit, how does the washer drain?
  a. Into a standpipe
b. into a floor drain
c. Into a sink
d. Other
Foundation 1. Full Basement (If not, go to question #4):
  a. Yes
b. No
Foundation 2. Are portions of the basement finished?
  a. Yes
b. No
Foundation 3. Carpeting on basement floor?
  a. Yes
b. No
Foundation 5. Is there a partial basement + crawl space
  a. Yes
b. No
Foundation 4. Slab Foundation?
  a. Yes
b. No
Foundation 6. If there is a full or partial basement are there signs of rust at the bottom of steel posts, watermarks on walls, dried water stains on materials?
  a. Yes
b. No
Foundation 7. Is the foundation entirely crawl space?
  a. Yes
b. No
Foundation 8. If a crawl space, is the floor:
  a. Uncovered soil
b. Gravel covered soil
c. Plastic cover over soil/stones
d. Concrete
Foundation 9. If the answer above is plastic, is the plastic:
  a. Thin loose unsealed plastic
b. Heavy gauge sealed plastic
Foundation 10. Number of visible cracks in walls of foundation?
  a. 0
b. 1-2
c. 2-4
d. >4
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