B&T Inspections, Inc.

Date of Inspection :	(Date m/d/yyyy)
Property Address:
Inspector's Name:
Client's Name:
Client's Address:
Client's City:
Client's State:
Client's Zipcode:
Client's Phone Number:	(Phone Number)
Client's Email Address:	(E-mail)
Who requested the inspections and or testing provided for you?
	Self Realtor Financial Institution Other
What is the main reason you requested a home inspection?
	Buying a Home Selling a Home Other
Did the inspector review with you the results of the inspection?
	Yes No
Did the inspector answer your questions about the property?
	Yes No
Are you more knowledgeable with regards to the property?
	Yes No
How would you rate the service that was provided to you?
	Excellent Good Fair Needs Improvement
Would you recommend our services to others?
	Yes No
If you would like to provide us with a quote, we may publish it on our website.

If you would like your photo to be published along with your quote, please attach.

I give my permission to use my 1st name and city, along with my photo (if provided) on the B&T website.
Comments:
Your name will be entered into a quarterly random drawing for a $50 gift certificate to a local restaurant.

2843 N. Front Street | Harrisburg, PA 17110
PHONE: 717-221-1004 | FAX: 717-221-1005
E-MAIL: btinspect@comcast.net