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Your Name (required)
Your Email (required)
Do you or anyone living with you suffer from respiratory distress or illness (i.e. allergies, asthma, etc.)? yesno
Do you or anyone living with you suffer from an autoimmune disease? yesno
Are you sensitive to lack of sunlight or have Seasonal Affected Disorder? yesno
Do you use an efficient furnace or boiler to heat your home? yesno
Do you have pets? yesno
Does your current house have hot or cold spots from room to room or floor to floor? yesno
On a scale of 1 to 10 with 10 being the most, how would you rate the energy efficiency of your house/condo/apartment? 12345678910
Does your current home have a fresh air delivery system? yesno
Do you enjoy using a patio, deck or other outside living space yesno
Do you own your own home? yesno
How does your current home size meet your needs? Too SmallToo BigJust Right
What concerns do you have about your current home? Floor plan flow doesn’t work/Outgrew itPoor indoor air quality/Inconsistent temperatures throughout homeLocation no longer suits youNo elevator /Not wheelchair accessible /Too many stairsPoor construction quality Inefficient /High energy bills or cost of maintenanceWater intrusion/Structural problems
Do you believe that homes should reflect the goals and lifestyles of the occupants? yesno
Do you believe that homes should be built with occupant comfort, health and safety in mind? yesno
Do you believe that homes should be built with energy efficiency and long-term maintenance costs in mind? yesno
On a scale from 1 to 10, how important is it that your home be built with the sustainability of the planet in mind? 12345678910
That is all – please submit and one of our associates will review your answers.