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CONTACT INFORMATION

Homeowner
Seller
Buyer
Realtor
Property Manager
Other

     


 PROPERTY INFORMATION

      

Who performed the test?

Homeowner/Occupant
Inspector

       

Single Family Home
Multifamily / Apartment
School
Condominium
Commercial Building

Property is primarily built on:

Basement
On Slab
Crawlspace

Type of Foundation ( Click All That Apply ):

Concrete Foundation
Stone Wall Foundation
Block Wall Foundation
Other

If built on basement, is any portion of the basement finished?

Yes
No

If yes, how much is finished?


Is any portion of the property built over crawlspace?

Yes
No

How many sump pumps/pits are in the property?


Type of roofing material:

Composite/Asphalt
Wood Shake
Concrete, steel or tile
Flat Roofing Material
Other

      

How important are aesthetics to the installation of a radon fan system?

Very Important
Somewhat Important
Not Important at all

    

How did you hear about Midwest Radon?

Internet Advertising
Realtor Referral
Neighbor or Friend Referral
Returning Customer
Other

    

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