Forms

Needs Analysis Questionnaire

The following questions are designed to provide us with information to assist with your relocation.

Please answer where possible and provide additional information if you like.

Alternatively, you may download, print and fax this form back to Australiawide Relocations. Click here to download the Needs Analysis Questionnaire (PDF file).

Our telephone number is 61+ 02 9488 9444; fax 61+ 02 9488 8259.

EMPLOYER DETAILS
Work commencement date :
Company name :
Authorising Officer :
Your new business address :

ARRIVAL DETAILS (Preview visit if applicable)

Arrival date :

Flight :

Carrier :

Departure Date :

Approx date/times available to start with your Relocation Consultant :

Your Short Term Accommodation is where?

Consultant to pick up from :

	Hotel
	Work

Other

Would you like us to book your
short term accommodation?

Yes

If yes:

Accommodation Type :

	3 stars
	4 stars
	5 stars

Approx. price per night :

I prefer a :

	Hotel
	Serviced apartment

No. of bedrooms :

Length of stay :

How will the account be paid?

PERSONAL DETAILS

	Transferee	Partner
Last name :
First name :
Title/occupation :
Date of Birth :
Drivers Licence No :
Passport No :
Nationality :
Languages spoken :
Current home address :
Email Address :
Home Telephone :
Mobile :
Work :
Fax :

Child's name	Date of Birth	School Year Completed

HOUSING REQUIREMENTS

Description of areas preferred (city, suburbs north, south, east or west of city) :

I am looking for :

	Rental Property
	Purchase Property

I prefer :

Approximate Rental Amount :

(AUD)

Approximate Purchase Amount :

(AUD)

Who will be paying rent each month?

ADDITIONAL REQUIREMENTS

Family room

Swimming Pool

Garden

Garage

Security

Fenced areas

Pets

Comments:

LEASE REQUIREMENTS

Required name on Lease (Employer or Transferee) :

Length of Lease :

months

Approximate move in date :

Clause :

	Special Clauses
	Diplomatic/Release Clause

FURNITURE

Bringing Own

Rent

Purchase

Any large furniture to be accommodated?
(e.g piano, king sized bed, large dining setting etc)

UTILITY CONNECTIONS
	Australiawide Relocations Pty Ltd will organize the connections of all utility services to coincide with your move in date; however, we require your date of birth, drivers licence number and contact number to do so. A specialist company will then contact you to discuss telephone, broadband, pay TV options & plans. If this meets with your approval for us to provide this service, please tick the box.