Get an Estimate

Please provide the following information:

Homeowner's Name:
Property Street Address:
Address (cont.):
City:
State:
Zip Code:
Homeowner's Phone:
Homeowner's E-mail:
Homeowner's Cell:

Are you? Choose one of the following options:

Homeowner

Buyer

Seller

Buyer's Agent

Listing Agent

If you are not the homeowner, please provide your contact information below:

Name:
Phone:
E-mail:
Cell:

What is the Radon level in your home?

Age of the home?

What is the structure of the home?

Two-story
Ranch
Split Entry
Split Level
Townhouse
Condo
Other

Is there a builder installed passive system?

Yes     No

What size pipe was installed?

Three inch      Four inch

Is the home on:

Basement      Crawl space      Slab

What percent of the basement is finished?

10-20%
20-30%
30-40%
40-50%
50-60%
60-70%
70-80%
80-90%
100%

Is there a garage in the basement?

Yes      No

Is the basement floor completely concrete?

Yes      No

Is any part of the floor dirt?

Yes      No

Are there any uncapped open pipes?

Yes      No

The basement walls are?

Block      Stone      Poured

Any additions to the home?

Yes      No

Size of addition?

What is under the new addition?

Basement      Slab      Crawl Space

Is there radiant heat in the lowest level of the home?

Yes      No

Is there a sump pump?

Yes      No

Is there a dewatering system?

Yes      No

Are there French drains?

Interior
Exterior
Both
None

Are there crawl spaces under the home?

Yes      No

If yes, are they dirt or concrete?

Dirt      Concrete

What color are the downspouts?

Is there anyone else who needs to be "kept in the loop"?

Name:
Work Phone:
Home Phone:
E-mail:

Who is responsible for payment?

Name:
Title:
Organization:
Work Phone:
Home Phone:
E-mail:

Is there a date this system needs to be installed by?

-- dd/mm/yy