Survey
You spend 90% of your time indoors.....More than half of that time in your home. This easy quiz could uncover the existence of potential health hazards you may not have realized!
SOURCES OF INDOOR CONTAMINATES
| ______ |
Do any household members smoke?
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| ______ |
Do furry pets live indoors?
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| ______ |
Are insecticides or pesticides used indoors?
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| ______ |
How many cars are parked in an attached and enclosed garage?
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| ______ |
Are any of the following hobbies conducted indoors: woodworking, jewelry making, pottery, or model building?
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| ______ |
Do you use pressurized aerosol canisters?
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| ______ |
Is part of your living area below ground?
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| ______ |
Is your home insulated with urea-formaldehyde or asbestos?
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| ______ |
Are heating vents corroded or rusted?
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| ______ |
Do burner flames on gas heating or cooking appliances appear yellow instead of blue?
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| ______ |
Do you have an non vented gas space heater? |
STRENGTH OF INDOOR CONTAMINATES
| ______ |
Are there unusual and noticeable odors?
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| ______ |
Is the humidity level unusually high or is moisture noticeable on windows or other surfaces?
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| ______ |
Does the air seem stale?
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| ______ |
Are there any of the following symptoms noticeable among residents: headaches, itchy, watery eyes, nose or throat infection or dryness, dizziness, nausea, colds, sinus problems?
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| ______ |
Are any of the following hobbies conducted indoors: woodworking, jewelry making, pottery, or model building?
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| ______ |
Have you noticed an increase in lack of energy?
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| ______ |
Do you still feel tired after a normal nights sleep?
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| ______ |
Do you have difficulty concentrating?
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| ______ |
Are you feeling mildly depressed for no apparent reason?
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| ______ |
Is there a noticeable lack of air movement?
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| ______ |
Have you insulated or weatherized your home?
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| ______ |
Is the dust on furniture noticeable?
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| ______ |
Is dust or dirt staining walls, ceilings, furniture or draperies? |
HIGH RISK HOUSEHOLD MEMBERS
| ______ |
Are any family members less than 4 or more than 60 years old?
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| ______ |
Is anyone normally confined to the house more than 12 hours per day?
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| ______ |
Does anyone suffer from asthma or bronchitis, allergies, heart problems or hypersensitivity pneumonitis? |
________ TOTAL YES ANSWERS
Give yourself 1 point for each "YES" answer. More than 5 points tells you it's time for AIR THERAPY!