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10-Question IAQ Diagnostic Survey for Home Owners

Contractors:  the following questions, asked of a home owner on your next annual HVAC checkup / visit, may assit you in recommending and selling IAQ products that home owner may need. Leave it behind for the home owner to study, or review the form and their answers while you are there. The form also includes information about the difference between portable units and whole house systems.
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Following is a portion of the form that includes the introduction and a few of the 10 questions:
EPA studies indicate that indoor air can be up to 100 times more polluted than outdoor air. And, the average American spends up to 90% of their time indoors. Did you know the EPA has named indoor air pollution as one of the top five environmental risks to public health? If you see dust in the air or on your furniture, what you’re really seeing are mold spores, pet dander, bacteria, pollen and other harmful contaminants. Particulate matter like this is found in 85% of all homes. It’s not just your family that suffers. Your home, its contents and other valuables are affected as well.
It is vital that to analyze adverse health patterns you may be experiencing inside your home; patterns that could indicate a link between what you are experiencing and indoor air pollution. A diary or log of symptoms correlated with time and place may prove helpful. Your answers to the following questions could indicate the need for an indoor air quality (IAQ) product that can, and will make a significant difference in the health of you and your family.
  1. Are you feeling any new or recurring adverse health effects in your home (headaches, fatigue, coughing, sneezing, difficulties breathing, etc.)?
  2. When did the [symptom or complaint] begin?
  3. Does the [symptom or complaint] exist all the time, or does it come and go? That is, is it associated with times of day, days of the week, or seasons of the year?
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