Piano Scouts 7 Park Avenue Kings Park, NY 11754 1-800-296-5684 Fax: (631) 544-0705 (call first before faxing) Email: info@pianoscouts.com Website: www.pianoscouts.com
Quick Questionnaire
Please take the time to fill-in all fields below:
Name: Address: City: St: Zip: Phone (Home): Work: Fax: Email:
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) 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 length, 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? $_______________________
Return this completed questionnaire, along with three (3) 'good-quality' photos to the above address at top.