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New Client Mold or IAQ Questionnaire

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Is there visible mold?(*)
Is there visible mold?
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Have you been diagnosed with mold exposure by a medical provider?(*)
Have you been diagnosed with mold exposure by a medical provider?
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Have you been diagnosed with mycotoxins by a medical provider?(*)
Have you been diagnosed with mycotoxins by a medical provider?
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Are you currently having health-related issues?(*)
Are you currently having health-related issues?
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Have there been any water-related events on the property?(*)
Have there been any water-related events on the property?
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Have you been exposed to mold in any of the following? List all. (*)
Have you been exposed to mold in any of the following? List all.
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Has there been recent mold abatement?(*)
Has there been recent mold abatement?
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Have any of the current home contents been exposed to mold in another location?(*)
Have any of the current home contents been exposed to mold in another location?
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Onsite Consulting: $325 per hour (travel fees may apply)(*)
Onsite Consulting: $325 per hour (travel fees may apply)
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Virtual Consulting $175 per half hour.(*)
Virtual Consulting $175 per half hour.
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Hourly Consulting with testing equipment $375 per hour. (travel fees may apply)(*)
Hourly Consulting with testing equipment $375 per hour. (travel fees may apply)
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Mold Investigation: A visual inspection of your home/building with the use of thermal imaging and various moisture meters. A visual assessment would be conducted of the exterior, interior, basement, attic, and crawlspace (when applicable), the HVAC, and other related systems of the home/building. Pricing is based on the square footage of the home/building.(*)
Mold Investigation: A visual inspection of your home/building with the use of thermal imaging and various moisture meters. A visual assessment would be conducted of the exterior, interior, basement, attic, and crawlspace (when applicable), the HVAC, and other related systems of the home/building. Pricing is based on the square footage of the home/building.
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Mold Air Sampling: Spore traps are used to compare the outdoor air with the indoor air. Each room is a zone, and the results will vary within each zone. Including the exterior, how many samples do you want tested? This is the most common and popular sampling or screening. This will only pick up the spores in the air at the time of the inspection. Turnaround is approximately 48 business hours from lab receipt. $150 per sample.(*)
Mold Air Sampling: Spore traps are used to compare the outdoor air with the indoor air. Each room is a zone, and the results will vary within each zone. Including the exterior, how many samples do you want tested? This is the most common and popular sampling or screening. This will only pick up the spores in the air at the time of the inspection. Turnaround is approximately 48 business hours from lab receipt. $150 per sample.
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Bulk or Vacuum Testing. We can take a sample from the carpet, filters or random dust in a room. Turnaround is approximately 48 business hours from lab receipt. $150 per sample.(*)
Bulk or Vacuum Testing. We can take a sample from the carpet, filters or random dust in a room. Turnaround is approximately 48 business hours from lab receipt. $150 per sample.
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Tape lifts or swabs: Any visible area of suspect mold activity, or post-abatement (verification testing on various surfaces). Turnaround is approximately 48 business hours from lab receipt. $150 per sample.(*)
Tape lifts or swabs: Any visible area of suspect mold activity, or post-abatement (verification testing on various surfaces). Turnaround is approximately 48 business hours from lab receipt. $150 per sample.
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Mycotoxin in air testing: Each sample takes one hour. This test detects chemicals in the air that mold can produce, including mycotoxins. These may detect mold where the conventional spore traps do not. $425 per sample(*)
Mycotoxin in air testing: Each sample takes one hour. This test detects chemicals in the air that mold can produce, including mycotoxins. These may detect mold where the conventional spore traps do not. $425 per sample
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Mycotoxin Swab or Bulk: This test detects chemicals in the air that mold can produce, including mycotoxins. These may detect mold where the conventional bulk collection does not. $325 per sample(*)
Mycotoxin Swab or Bulk: This test detects chemicals in the air that mold can produce, including mycotoxins. These may detect mold where the conventional bulk collection does not. $325 per sample
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Wall Check: We can perform a wall or cavity check where a small ¼” hole is drilled into the wall, ceiling, or floor surface. The client agrees to assume responsibility for all repairs of the finished surface. We do not perform any repairs and will tape over the hole.(*)
Wall Check: We can perform a wall or cavity check where a small ¼” hole is drilled into the wall, ceiling, or floor surface. The client agrees to assume responsibility for all repairs of the finished surface. We do not perform any repairs and will tape over the hole.
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ERMI Vacuum Testing: This is a DNA test that creates a mold score; some health providers request this test. The EPA considers this for research purposes only. $375 per sample(*)
ERMI Vacuum Testing: This is a DNA test that creates a mold score; some health providers request this test. The EPA considers this for research purposes only. $375 per sample
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Are you concerned about VOCs or want testing performed.
Are you concerned about VOCs or want testing performed.
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Site visit without testing after the scheduled time. When the inspector shows up for the inspection, the client is uncertain how to proceed. This becomes a ½ hour on-site consulting (travel fees may apply) $175(*)
Site visit without testing after the scheduled time. When the inspector shows up for the inspection, the client is uncertain how to proceed. This becomes a ½ hour on-site consulting (travel fees may apply) $175
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The Client has read and agrees to the following. Ensure all areas to be inspected will be made accessible to the inspector before the inspection, including basement walls, crawlspace, furnace, ducts, and below all sinks and attic.(*)
The Client has read and agrees to the following. Ensure all areas to be inspected will be made accessible to the inspector before the inspection, including basement walls, crawlspace, furnace, ducts, and below all sinks and attic.
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The client has read and agreed to the following. Ensure all windows and doors are closed 24 hours prior to the inspection or testing. The client can use the exterior doors as needed, just keep them closed.(*)
The client has read and agreed to the following. Ensure all windows and doors are closed 24 hours prior to the inspection or testing. The client can use the exterior doors as needed, just keep them closed.
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The Client aggrees to the following. Ensure all air purifiers and air scrubbers are turned off 24 hours prior to the inspection. (*)
The Client aggrees to the following. Ensure all air purifiers and air scrubbers are turned off 24 hours prior to the inspection.
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The client agrees to operate all water sources and fixtures in the home for 30 minutes before the inspection, so that they remain cold during the investigation.(*)
The client agrees to operate all water sources and fixtures in the home for 30 minutes before the inspection, so that they remain cold during the investigation.
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The client agrees to pay for consulting fees during any future consultations. There are no fees for an initial 10-minute phone call to introduce you and discuss your background. (*)
The client agrees to pay for consulting fees during any future consultations. There are no fees for an initial 10-minute phone call to introduce you and discuss your background.
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The client agrees to and understands that there are pros, cons, and limitations to all mold testing and investigations. Mold can change throughout the year due to factors such as humidity, weather, future leaks, storage, and wall conditions. floor and ceiling coverings, new items, and pets introduced into the home/building. Testing may involve different phases and testing methods.
The client agrees to and understands that there are pros, cons, and limitations to all mold testing and investigations. Mold can change throughout the year due to factors such as humidity, weather, future leaks, storage, and wall conditions. floor and ceiling coverings, new items, and pets introduced into the home/building. Testing may involve different phases and testing methods.
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