Value
in current real estate market
$(approximate)
What
type of construction?
Select
construction type
Brick
Block
Manufactured
Home
Mobile
Home
Other
Unknown
Number
of Stories
Select
number of stories
1
story
1-1/2
stories
2
stories
2-1/2
stories
3
or more
Exterior
finish on building
Select
exterior finish
Aluminum
Siding
Block
Brick
Brick
Veneer
Stucco
on Block
Stucco
on Frame
Vinyl
Siding
Wood
Siding
Other
What
is the interior ceiling height in most rooms?
Select
ceiling height
8
ft ceilings (Most common)
9
ft ceilings
Other
Unknown
What
is the type of flooring in most rooms?
Select
type of flooring
Carpet
Ceramic
Tile
Concrete
Hardwood
Hardwood
- Parquet
Vinyl
Sheet
Vinyl
tile
Other
Unknown
What
is the type of interior wall in most rooms?
Select
type of wall
Drywall
Plaster
Wood
Paneling
Other
Unknown
Type
of basement?
Select
basement
No
basement
Yes,
Quarter basement
Yes,
Half basement
Yes,
Full basement
Is
the basement suitable as a living space?
Select
No or Yes
No
Yes
Number
of bathrooms
Select
number of bathrooms
1
1-1/2
2
2-1/2
3
More
than 3
Number
of bedrooms
Select
number of bedrooms
1
2
3
4
5
More
than 5
Number
of rooms with fireplaces
Select
Number of Fireplaces
None
1
2
3
4
5
More
than 5
Number
of wood burning stoves
Select
Number of Rooms with Wood Stoves
None
1
2
3
4
5
More
than 5
Does
the home have central air conditioning?
Select
No or Yes
No
Yes
Type
of heat in the home
Select
the type of heat
Gas
- hot air
Gas
- hot water
Heat
pump (heat and air)
Propane
Wood
Other
Type
of roof on the home
Select
the type of roof
Asphalt
Flat
roof
Fiberglass
Tile
Other
Type
of kitchen counter tops
Select
the type of counter tops
Man-made
stone
Marble
Plastic
laminate
Steel
Stone
Wood
Other
Additional
Information on the Residence
Is
there a garage attached to the home?
Select
No or Yes
No
Yes
Size
of attached garage
Select
size of garage
1
Car
2
Cars
3
Cars
4
Cars
5
Cars
More
than 5 Cars
Is
there a detached garage or shed on the property but
not part of the house?
Select
No or Yes
No
Yes
Is
there a dog at the home?
Select
No or Yes
No
Yes
If
there is a dog, what is the breed?
Is
there a swimming pool?
Select
No or Yes
No
Yes
Is
there a trampoline?
Select
No or Yes
No
Yes
Is
any kind of business conducted at this home?
Select
No or Yes
No
Yes
Type
of building?
Select
the Type of Residence
Single
Family Residence
Multi
Family Residence
Is
business equipment stored or used at this home?
(Such as tow truck, or parking for commercial
vehicles)
Select
No or Yes
No
Yes
Is
a boat stored at this home?
Select
No or Yes
No
Yes
Is
there an indoor fire sprinkler in the building?
Select
No or Yes
No
Yes
Is
there a smoke detector in the building?
Select
No or Yes
No
Yes
Type
of fire alarm in the building?
Type
of Fire Alarm
None
Local
- sounds only in the building
Central
- calls monitoring company
Direct
- calls fire department
Other
Distance
to the nearest fire department station?
Distance
to the nearest fire hydrant?
Type
of burglar alarm in the building?
Type
of Burglar Alarm
None
Local
- sounds only in the building
Central
- calls monitoring company
Direct
- calls police
Other
Your
Insurance Information
Do
you currently have insurance on this property?
Select
No or Yes
No
Yes
Do
you have any other insurance with Oasis?
Select
No or Yes
No
Yes
Has
your insurance (home, renter, auto, etc.) been
canceled for any reason in the past 3 years?
Select
No or Yes
No
Yes
How
many home insurance claims have you had in the past
3 years?
Select
number of insurance claims
None
1
2
3
4
5
or more
How
do you use this home?
Select
type of residence
Primary
residence (I live in the home)
Rental
home (I rent to others)
Seasonal
residence (I live in the home part of the year)
Vacant
Other
Replacement
should be based upon what value?
Select
the type of Replacement Cost to Cover
Cost
to Replace New Building
Depreciated
building value
Do
you want to insure for liability for any of the
following: injuries, death, medical expenses related
to injuries, etc.
Select
No or Yes
No
Yes
Do
you want to insure for water/sewer overflow ?
Select
No or Yes
No
Yes
Do
you want to insure furniture and items in the home:
jewelry, computers, etc.?
Select
No or Yes
No
Yes
What
deductible do you wish for the insurance?
Select
Deductible
$250.00
deductible
$500.00
deductible
$1,000.00
deductible
Other
deductible
Do
you wish to include personal liability with the
insurance?
Select
No or Yes
No
Yes
