Lead ID * Are the walls in good condition? * Select Yes No Are the floor in good condition? * Select Yes No Are the celling in good condition? * Select Yes No Are the window in good condition? * Select Yes No Are the door in good condition? * Select Yes No Are the lights in good condition? * Select Yes No Are the smoke-detector in good condition? * Select Yes No Rate the overall room condition* Select 1 - Poor 2 - Fair 3 - Good 4 - Very Good 5 - Excellent