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Air Quality Survey

Air Quality Survey

About You...

* Indicates Required Field

Name
*First *Last
*Address
City/State/Zip
*City *State *Zip
*Telephone
*E-mail Address

1) Do cooking or other odors tend to linger in your home?
Yes No
2) Does anyone in your family suffer from allergies, asthma, or breathing difficulties?
Yes No
3) Does anyone in your home smoke?
Yes No
4) Do you have indoor pets?
Yes No
5) Do you ever suffer from dry throat, dry skin, or experience static electricity in your home?
Yes No
6) Do you tend to use antibacterial household products like cleaners or soap?
Yes No
7) Have you ever purchased or used portable (plug-in) room air cleaners or humidifiers?
Yes No
8) Do some areas of your home experience dramatic temperature differences(i.e. too hot upstairs, too cool downstairs)?
Yes No
9) Is your thermostat programmed for energy savings?
Yes No
10) Has it been a year or more since you had your heating and cooling system cleaned and inspected?
Yes No
Puron-The Environmentally Sound Refrigerant
Hybrid Heat Systems

Air Advice


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