Interior Survey Question Title * 1. Please provide your name and address: Question Title * 2. If known, please provide the original construction date of your house: Question Title * 3. If you have undertaken renovations, please check each of the following that best describes the work: new construction or additions relocation of interior walls Relocation or reconfiguration of staircase Replaced plaster walls with drywall Renovation of kitchen and/or bathrooms Adaptation of attic or basement for living space Other (please specify) Question Title * 4. Select any of the original features, materials, or finished that remain in your house. plaster Ceilings plaster Walls wood mouldings (i.e. doors, windows, baseboards) wood paneling wood fireplace surrounds wood doors door hardware original starirs (risers, treads, railings, newell post, etc.) wood floors Question Title * 5. Please indicate if you would be willing ot have your house surveyed. The process takes less than two hours and the information is used for research and informational purposes only and will not be made public. I am willing to have my historic house surveyed I decline Question Title * 6. Additional contact information:Phone Number and e-mail Done