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Yes, in almost all cases, it is worth the investment to hire professional piano movers. Pianos are not only heavy and bulky but are also often expensive and delicate instruments. Attempting to move one yourself poses a significant risk of damage to the piano, your home, and can lead to serious personal injury, especially when navigating stairs. The average cost of hiring professional movers (around $400) is typically much less than the potential cost of repairs, replacement, or medical bills that could result from an unsuccessful DIY move.

Gym equipment can be heavy, so it’s best to transport it using a furniture dolly. When dealing with treadmills, weight machines, or other bulky items, hiring professional movers or roping in some friends and renting a moving van makes sense.

Yes, moving a piano often causes it to become out of tune, even if you're not moving the piano very far. One reason is that any temperature and humidity changes can affect a piano's tuning. Additionally, the bumps and jolts from a moving truck usually push a piano out of tune. 

However, don't jump right to tuning it once the piano gets to your new home. Instead, it's best to wait at least two weeks for the instrument to acclimate to its new environment. After a couple weeks, you'll get an idea of what the piano will really sound like in its new home, at which point you can call a piano technician to get it properly tuned.

Moving companies offer a variety of service packages to suit different needs and budgets during the moving process. They typically provide loading, unloading, and transportation services, using specialized equipment to handle heavy and bulky items. Services can also include packing assistance, where professional packers securely pack belongings to ensure their safety during transportation. Some moving companies also offer temporary storage options, as well as unpacking services upon arrival.