Your radon test result

Smoking exposure

Does anyone who lives in the home smoke?

Yes
No

Home circumstances

Check any that apply:

Basement bedroom
Child or elderly adult spends long hours downstairs
Pet spends long hours in basement
Cancer survivor (lung or chest radiation)

About your home

How long have you lived here?

Less than 2 years
2–10 years
More than 10 years

Do you expect to stay in the home?

Yes
No
Not sure

Major renovations in the last 12 months?

Yes
No

Your Recommendation

Recommendation
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Why
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Additional notes
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