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Survey
Gebruiker Development
2023-08-15T13:41:38+02:00
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Survey
Survey
…….
Request a free quote
1
Pick up
2
Delivery
3
Additional
4
Goods
First name
*
Last name
*
Phone
*
E-mail
*
Collection address
*
Postal code
*
City
*
Floor nr.
Inside elevator present?
No
Yes
Outside elevator required?
No
Yes
Pick up date
MM slash DD slash YYYY
Extra collection address (if applicable)
Do you require storage at origin?
No
Yes
First name
*
Last name
*
Phone
*
Email
*
Delivery address
*
Postal code
*
City
*
Floor nr.
Inside elevator present?
No
Yes
Outside elevator required?
No
Yes
Delivery date
MM slash DD slash YYYY
Extra delivery address (if applicable)
Do you require storage at destination?
Yes
No
Are you paying privately or your employer?
Privately
My employer
Company name and contact
Do you want us to pack your boxes?
No
Yes
Do you have your own boxes?
No
Yes
Do you require us to dismantle any furniture?
No
Yes
Do you require us to reassemble your furniture?
No
Yes
Any heavy goods? (Like a piano, vault)
Any fragile goods? (Like antiques or instruments)
Any restrictions at collection address?
Any restrictions at delivery address?
Livingroom
3 pers. couch
Please enter a number greater than or equal to
0
.
3 pers. couch - m3
2 pers. couch
Please enter a number greater than or equal to
0
.
2 pers. couch - m3
Fauteuil
Please enter a number greater than or equal to
0
.
Fauteuil - m3
Wall cabinet per part
Please enter a number greater than or equal to
0
.
Wall cabinet - m3
Chest of drawers
Please enter a number greater than or equal to
0
.
Chest of drawers - m3
TV-cabinet
Please enter a number greater than or equal to
0
.
TV-cabinet - m3
TV/Flat screen
Please enter a number greater than or equal to
0
.
TV/Flat screen - m3
Antique desk
Please enter a number greater than or equal to
0
.
Antique desk - m3
Desk
Please enter a number greater than or equal to
0
.
Desk - m3
Stereo equipment
Please enter a number greater than or equal to
0
.
Stereo equipment - m3
Standing clock
Please enter a number greater than or equal to
0
.
Standing clock - m3
Side table
Please enter a number greater than or equal to
0
.
Side table - m3
Coffee table(s)
Please enter a number greater than or equal to
0
.
Coffee table(s) - m3
Hocker
Please enter a number greater than or equal to
0
.
Hocker - m3
Carpet
Please enter a number greater than or equal to
0
.
Carpet - m3
Plants
Please enter a number greater than or equal to
0
.
Plants - m3
Pictures
Please enter a number greater than or equal to
0
.
Pictures - m3
Floor covering
Please enter a number greater than or equal to
0
.
Floor covering - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Livingroom Total - m3
Bedroom 1
1-pers. bed
Please enter a number greater than or equal to
0
.
1-pers. bed - m3
2-pers. bed
Please enter a number greater than or equal to
0
.
1-pers. bed - m3
Waterbed
Please enter a number greater than or equal to
0
.
Waterbed - m3
Surrounds of bed
Please enter a number greater than or equal to
0
.
Surrounds of bed - m3
Chest of drawers
Please enter a number greater than or equal to
0
.
Chest of drawers - m3
Bed cabinet/chair
Please enter a number greater than or equal to
0
.
Bed cabinet/chair - m3
Linen closet 2-drs
Please enter a number greater than or equal to
0
.
Linen closet 2-drs - m3
Linen closet 3-drs
Please enter a number greater than or equal to
0
.
Linen closet 3-drs - m3
Dressing table
Please enter a number greater than or equal to
0
.
Dressing table - m3
Wardrobe box
Please enter a number greater than or equal to
0
.
Wardrobe box - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Bedroom 1 Total - m3
Bedroom 2
1-pers. bed
Please enter a number greater than or equal to
0
.
1-pers. bed - m3
2-pers. bed
Please enter a number greater than or equal to
0
.
2-pers. bed - m3
Waterbed
Please enter a number greater than or equal to
0
.
Waterbed - m3
Surrounds of bed
Please enter a number greater than or equal to
0
.
Surrounds of bed - m3
Chest of drawers
Please enter a number greater than or equal to
0
.
Chest of drawers - m3
Bed cabinet/chair
Please enter a number greater than or equal to
0
.
Bed cabinet/chair - m3
Linen closet 2-drs
Please enter a number greater than or equal to
0
.
Linen closet 2-drs - m3
Linen closet 3-drs
Please enter a number greater than or equal to
0
.
Linen closet 3-drs - m3
Dressing table
Please enter a number greater than or equal to
0
.
Dressing table - m3
Wardrobe box
Please enter a number greater than or equal to
0
.
Wardrobe box - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Bedroom 2 Total - m3
Diningroom
Dining table
Please enter a number greater than or equal to
0
.
Dining table - m3
Chairs
Please enter a number greater than or equal to
0
.
Chairs - m3
Small furniture
Please enter a number greater than or equal to
0
.
Small furniture - m3
Closet
Please enter a number greater than or equal to
0
.
Closet - m3
Total
Diningroom Total - m3
Bedroom 3
1-pers. /child’s bed
Please enter a number greater than or equal to
0
.
1-pers. /child’s bed - m3
Bed board
Please enter a number greater than or equal to
0
.
Bed board - m3
Desk
Please enter a number greater than or equal to
0
.
Desk - m3
Bed cabinet/chair
Please enter a number greater than or equal to
0
.
Bed cabinet/chair - m3
Linen closet 2-drs
Please enter a number greater than or equal to
0
.
Linen closet 2-drs - m3
Wardrobe box
Please enter a number greater than or equal to
0
.
Wardrobe box - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Bedroom 3 Total - m3
Kitchen
Stove
Please enter a number greater than or equal to
0
.
Stove - m3
Dishwasher
Please enter a number greater than or equal to
0
.
Dishwasher - m3
Fridge
Please enter a number greater than or equal to
0
.
Fridge - m3
Closet
Please enter a number greater than or equal to
0
.
Closet - m3
Deepfreeze
Please enter a number greater than or equal to
0
.
Deepfreeze - m3
Dinette
Please enter a number greater than or equal to
0
.
Dinette - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Kitchen Total - m3
Bedroom 4
1-pers. bed
Please enter a number greater than or equal to
0
.
1-pers. bed - m3
2-pers. bed
Please enter a number greater than or equal to
0
.
2-pers. bed - m3
Surrounds of bed
Please enter a number greater than or equal to
0
.
Surrounds of bed - m3
Linen closet 2-drs
Please enter a number greater than or equal to
0
.
Linen closet 2-drs - m3
Chest of drawers
Please enter a number greater than or equal to
0
.
Chest of drawers - m3
Desk
Please enter a number greater than or equal to
0
.
Desk - m3
Shelves
Please enter a number greater than or equal to
0
.
Shelves - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Bedroom 4 Total - m3
Study
Desk
Please enter a number greater than or equal to
0
.
Desk - m3
Bookcase
Please enter a number greater than or equal to
0
.
Bookcase - m3
Chairs
Please enter a number greater than or equal to
0
.
Chairs - m3
Shelves
Please enter a number greater than or equal to
0
.
Shelves - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Study Total - m3
Attic
Cabinet
Please enter a number greater than or equal to
0
.
Cabinet - m3
Table
Please enter a number greater than or equal to
0
.
Table - m3
Camp equipment
Please enter a number greater than or equal to
0
.
Camp equipment - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Attic Total - m3
Bathroom
Washing machine
Please enter a number greater than or equal to
0
.
Washing machine - m3
Drier
Please enter a number greater than or equal to
0
.
Drier - m3
Closet
Please enter a number greater than or equal to
0
.
Closet - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Bathroom Total - m3
Other
Vacuum cleaner
Please enter a number greater than or equal to
0
.
Vacuum cleaner - m3
Ironing board
Please enter a number greater than or equal to
0
.
Ironing board - m3
Total
Other Total - m3
Vehicles
Motorbike
Please enter a number greater than or equal to
0
.
Motorbike - m3
Car
Please enter a number greater than or equal to
0
.
Car - m3
Total
Vehicles Total - m3
Sports equipment
Surfboard
Please enter a number greater than or equal to
0
.
Surfboard - m3
Diving gear
Please enter a number greater than or equal to
0
.
Diving gear - m3
Total
Sports equipment Total - m3
Shed, Garage, Garden
Work bench
Please enter a number greater than or equal to
0
.
Work bench - m3
Closet(s)
Please enter a number greater than or equal to
0
.
Closet(s) - m3
Tools
Please enter a number greater than or equal to
0
.
Tools - m3
Children bicycle(s)
Please enter a number greater than or equal to
0
.
Children bicycle(s)- m3
Adults bicycle(s)
Please enter a number greater than or equal to
0
.
Adults bicycle(s)- m3
Garden set
Please enter a number greater than or equal to
0
.
Garden set - m3
Garden chairs
Please enter a number greater than or equal to
0
.
Garden chairs - m3
Garden furniture
Please enter a number greater than or equal to
0
.
Garden furniture - m3
Garden furnish
Please enter a number greater than or equal to
0
.
Garden furnish - m3
Barbeque
Please enter a number greater than or equal to
0
.
Barbeque - m3
Shelves
Please enter a number greater than or equal to
0
.
Shelves - m3
Wood
Please enter a number greater than or equal to
0
.
Wood - m3
Wheelbarrow
Please enter a number greater than or equal to
0
.
Wheelbarrow - m3
Step ladder
Please enter a number greater than or equal to
0
.
Step ladder - m3
Pots
Please enter a number greater than or equal to
0
.
Pots - m3
Plants
Please enter a number greater than or equal to
0
.
Plants - m3
Moving boxes
Please enter a number greater than or equal to
0
.
Moving boxes - m3
Total
Shed, Garage, Garden Total - m3
Total
Total volume
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