100 Radon Test Kit Challenge - End of test data

1

Detector Serial Number* This field is required.

2

Second Detector Serial Number

If you received a duplicate test.

3

Email* This field is required.

example@example.com

4

Confirm E-mail* This field is required.

example@example.com

5

Postal Code of the building tested* This field is required.

6

Test End Date (day detector was returned in the mail)* This field is required.

enter the date

9

Please Specify

10

Would you help us by answering a few additional questions about the conditions in your home during the test period?

Yes

No

11

During the testing period, how often were the windows open in the room being tested?

Never or almost never (1 - 5 days)

Once in a while (5 - 15 days)

Frequently (30 - 60 days)

Often (61+ days)

12

During the testing period, how often were windows open in other areas of the house?

Never or almost never (1 - 5 days)

Once in a while (5 - 15 days)

Frequently (30 - 60 days)

Often (61+ days)

13

During the testing period, did you use the kitchen fan while cooking?

Always

Sometimes

Never

N/A

14

Does someone in the household smoke?

Yes

No

Yes, but only outside

Previous smoker, no longer smokes

15

Would you be interested in being contacted in future for a follow-up survey?

Yes

No