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100 Radon Test Kit Challenge - End of test data
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15
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1
Detector Serial Number
*
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2
Second Detector Serial Number
If you received a duplicate test.
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3
Email address (please avoid Hotmail addresses if possible):
*
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4
Postal Code of the building tested:
*
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5
Day you ended your radon test / à quelle date avez vous terminé votre test radon
*
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-
Day
Month
Year
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6
Where did you place the radon detector?
*
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Basement
First/Ground Floor
Second Floor
Bi-level
Other
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7
In what room did you place the radon detector?
Bedroom
Living Room
Other Living Area
Non-living area
Other
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8
Please Specify
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9
You will be receiving your radon test report in the next few weeks. If your radon test report indicates that your indoor radon level is above the Canadian Guideline, how likely are you to take action toward reducing your radon level?
I am unlikely to take action to reduce my radon level.
I am undecided
I am quite likely to take action to reduce my radon level.
I am very likely to take action to reduce my radon level.
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10
Would you help us by answering a few additional questions about the conditions in your home during the test period?
Yes
No
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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)
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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)
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13
During the testing period, did you use the kitchen fan while cooking?
Always
Sometimes
Never
N/A
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14
Does someone in the household smoke?
Yes
No
Yes, but only outside
Previous smoker, no longer smokes
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15
Would you be interested in being contacted in future for a follow-up survey?
Yes
No
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