Home Owner Questionnaire

1. Do you notice drafty areas in certain parts of your home?
 Yes No

2.Does your home have uneven temperatures with some rooms being much warmer or colder than others?
 Yes No

3. Does your home have uneven floor temperatures?
 Yes No

4. Does your home generate high heating and cooling costs?
 Yes No

5. Do you notice any of the following around your home: musty smell, cracks in foundation or walls, leaky roof, condensation on windows or other surfaces?
 Yes No

6. Do you wish that noisy areas of the home (i.e. plumbing chases, children's play areas, home theaters) didn't penetrate other rooms that should be your haven of peace and quiet?
 Yes No

7. Do you or a family member experience one or more of the following symptoms: headaches, eye/nose/throat irritation, cough, sinus infections and/or fatigue?
 Yes No

8. Do you or a family member suffer from one or more of the following medical conditions: asthma/wheezing, seasonal allergy, sensitivity to mold/dust, and/or frequent colds or ear infections?
 Yes No