Piano Scouts
7 Park Avenue
Kings Park, NY 11754
Phone: 1-800-296-5684
Fax: (631) 544-0705 (call us first before faxing)
Email: info@pianoscouts.com
Website: www.pianoscouts.com

Quick Questionnaire

Please fill-in all fields below including those with asterisks which are required.
Be sure to click on the 'Submit' button located
at the bottom of this form.
*Name:  
*Address:
*City:
*St: *Zip:
*Phone
(Home):
Work:
*Email:
Fax:

Please provide us with copies of any paperwork including receipts from purchase or repair of piano to help document the information below. Also, please provide us with (3) 'good-quality' photos of the piano.

1. Brand name:  
2. Style: (grand, baby grand, console, spinet)
3. Serial #:  
4. Model #: Ask your piano tuner/technician if you don't know
5. Dimensions:
  a. (please measure entire length, if grand):
  b. (please measure entire height, if upright):
6. Age: (as far as you know)
7. Color:    
8. How many keys does the piano have? (count both black and white keys)
9. Kind of white key tops (ivory or plastic)?
10. Does it have a full plate or a 3/4 plate? (ask your tuner/technician)
11. Where did you get the piano from?
12. Have you serviced the piano:
  1) Regularly 3) Rarely?  
  2) Intermittently 4) Not sure? 5) Other
13. Who serviced the piano last?:
  (Name & phone# of Technician):
14. What is the current playing condition?
15. What kind of work has been done to the piano?
16. What kind of environment has the piano been in?
17. Are all parts of the piano present?
 
If not, please list any missing parts:
18. Does the piano have the original legs? lyre? & music desk?
 
If not, what has been changed?
19. Why are you selling your piano?
20. If you are in the process of moving, is there a deadline approaching we should be aware of? Check Yes or No: What is the deadline?
21. How did you hear of us?
22. Do you have any idea how much you would like for this piano? Yes  No
23. If so, how much?

1) Simply click on the 'Submit' button below to electronically send this 'Quick Questionnaire'

  OR

2) Click here for printout version. Please complete our Quick Questionnaire and mail it back to Piano Scouts, along with (3) 'good-quality' photos of the piano to:
Piano Scouts
7 Park Avenue
Kings Park, NY 11754