First Name
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Last Name
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Email
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Address
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City
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Postal code
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Do you have floor heating in the basement?
Do you have floor heating in the basement?
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Is the basement developed?
Is the basement developed?
Yes
No
Not Sure
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Do you have a sump pump?
Do you have a sump pump?
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Is there a Radon Rough in?
Is there a Radon Rough in?
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No
Not Sure
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Year of house construction (approximate is fine).
Current Radon level if house has already been tested?
If property was tested for radon, which test method was used?
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