Initial Questionnaire

This two page form is intended as a quick and easy way to provide an overview of your potential project. It does not request documentation, proof of statements, or attachments. We can obtain those details later. If you meet the criteria in the self evaluation, please complete this form and return it by email. Then call HomeAid Inland Empire (951) 686-0628 to discuss your plans.

Download Initial Information Questionnaire (pdf)