TAOR Survey

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Welcome

Welcome

The goal of the Take Action on Radon initiative is to move Canadians to Take Action on Radon, and to further that goal, we'd like to work with Radon Test Kit Providers to give homeowners easier access to radon test kits than ever before. Complete the following survey so we know how we can contact you with questions and provide us with information that we can use to post your information publicly.

15Questions

1
Company Name
2
Contact Name* This field is required.
First Name
Last Name
3
Public Contact Number
Area Code
Phone Number
4
Email* This field is required.
example@example.com
5
What do you consider as your Service Area?
6
Are you willing to track radon test kit sales and provide Take Action on Radon with this information?
YESNO
7
Are you willing or able to provide us with numbers to compare this coming year’s sales with last year’s sales?
YESNO
8
Please provide a web link to your long term radon test kit
9
Are there other testing products you think we should consider providing information and links for homeowners?Please provide the link for those products
10
Guidelines For Radon Test Providers - Please Read
11
Have you read the guidelines for Radon Test Kit Providers?* This field is required.
Yes
No
12
Do you meet the guidelines for radon test kit providers?* This field is required.
Yes
No
13
Do you provide French Language services?
YESNO
14
Please attach a logo we can use on our website to link to your products.
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
15
Please verify that you are human* This field is required.
16
Tags
[object Object]
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