Radon Mitigation Questionnaire Please fill out this questionnaire below regarding radon mitigation services.Name* First Last Email* Phone*How did you hear about us?* Property Address* Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Age of property* Did you have a radon test conducted?*SelectYesNoWhat were the results of your radon test / What was your radon level?*Type of structure*Check all that apply Basement Slab on grade Crawlspace Total square footage of home* Do you have a passive radon mitigation system installed?*SelectYesNoDo you have a sump pump?*SelectYesNoIf yes, is the sump pump a…*SelectSubmergiblePedestal typeHow soon do you need the radon mitigation system installed?* Anything else you would like to tell us?PhoneThis field is for validation purposes and should be left unchanged. Δ