1. Do you notice a musty odor when your air conditioning first turns on? *

Yes

No

2. Are there visible water stains on your ceilings, walls, floors, or below windows? *

Yes

No

3. Have you noticed black spots in bathrooms or on closet ceilings/top shelves? *

Yes

No

4. Is there bubbling, peeling, or warped paint/wallpaper in your home? *

Yes

No

5. Have you experienced past water leaks, flooding, or plumbing issues? *

Yes

No

6. Do you find dust or debris inside ducts when changing your HVAC filter? *

Yes

No

7. Do you have an open-vented crawl space or damp finished basement? *

Yes

No

8. Is your indoor humidity consistently above 60%? *

Yes

No

9. Do you use low-quality furnace filters instead of high-efficiency ones? *

Yes

No

10. Do you experience poor quality sleep or wake up feeling unrefreshed? *

Yes

No

11. Do you have ongoing nose, throat, or sinus irritation that won't go away? *

Yes

No

12. Do you experience memory loss, brain fog, or chronic inflammation that won't resolve? *

Yes

No