Questionnaire

Address *

What is the roofing material?

Asphalt shingles

Metal

Stone-coated steel

Slate

Clay/Concrete tile

City *

If yes, where is the sump basket located in relationship to the garage?

Have there been any additions that have been added to the house?

Yes

No

If yes, what is the square footage of the crawl space needing to be sealed?

If there is a basement, is it finished?

Yes

No

If yes, is it electric or hydronic?

Electric

Hydronic

If yes, is there an attic in the garage with access?

Attic but no access in garage

Attic with access in garage

Open trusses

Any files that you feel would be helpful? Pictures are GREAT!

Phone *

Current radon level of the house if known?

Customer Full Name: *

What year was the house built if known?

Is there a closet above the unfinished area or mechanical room in the basement?

Yes

No

Choose *

Is this for a real estate transaction? *

Yes

No

Is there an accessible attic in the home?

Yes

No

If yes, is the sump basket/drain tile system origional to the house or an addition?

Original

Addition

Is there a sump basket/drain tile system in the basement?

Yes

No

If yes, are you the buyer, seller, or agent?

Buyer

Seller

Agent

Is there an attached garage?

Yes

No

Is there an unfinished area or mechanical room in the basement adjacent to the garage?

Yes

No

Is there a basement?

Yes

No

Are there any major cracks/holes in the basement floor

Yes

No

Any additional information that you feel would be helpful?

Email *

Check here to receive email updates

Is there in-floor heat within the basement floor

Yes

No

What is the square footage of the basement?

0-1000 s.f.

1001-2000 s.f.

2001-3000 s.f.

3000+ s.f.

How soon do you need the radon mitigation system installed?

If yes, how many?

One

Two

Three

Is there finished living space above the garage?

Yes

No

Are there any crawl spaces within the home that are not already fully sealed with plastic or concrete?

Yes

No

Zip Code *

Radon Mitigation Questionnaire