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Your Healthy Home Assessment

Dear Sir / Madam,

thank you for visiting us.

By filling out this 5-10 minute survey, you will help us obtain the very best results.

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Healthy Home Assessment

Prevent yourself from depression, anxiety, stress, sleep problems, fatigue and even allergies and chronic diseases caused by the environment.


Schedule a technical visit for a HEALTHY ENVIRONMENT ASSESSMENT, and receive a TECHNICAL REPORT on how your home/office is today, and at the end, INDICATIONS OF IMPROVEMENTS to have a healthier environment.

And enjoy be a #highperformanceoccupant


We are present in the region of Maringa/PR/Brazil and South Florida/USA.

It is easy to create a survey free

Healthy Home Assessment
1

How did you hear about us?

Healthy design assessment
2

What was your motivation for taking the assessment?

3

What do you hope to solve with our services?

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Healthy Home Assessment
4

Hello Dear, it's a pleasure to help you. I would like to know you better. Tell me a little about you and your relationship with your property.

5

Please, write your address.

6

Property square footage

7

How many rooms are there?

8

The property is

Select one answer
9

For how long have you lived or occupied this house/apartment/office/building?

10

Do you know why the prior owners/tenants moved out?

11

How many people live/work (could live/work) in this property?

12

Does any of the inhabitants sick/ill? Or have any special medical condition? If yes, please explain their medical condition, for how long has this person been sick/ill and how is the medical treatment going?

13

Does anyone in the property have allergies? Constant headaches? Insomnia? Itching? Mucosa irritation? Or any other mild health imbalance or minor symptom that is not necessarily a diagnosed disease but causes discomfort. For how long?

14

Do you have any pets? If yes, please describe their condition (healthy, sick, old, puppy, etc.)

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Healthy Home Assessment
15

Does the sunlight enter in all rooms? Please describe each room.

16

What type of lamp do you use in the rooms and extended stay (home office/offices)? If possible, write down the technical specification (brand and model).

17

Is there mold in the residence/office? Where and how much? The whole year or just part of the year?

18

Do you open the windows during the day or night? For how long?

19

Is there air conditioning in the residence/office? What are the brand and model?

20

Do you utilize any products for indoor air regulation, such as humidifiers, ionizers, sterilizers?

21

Do you have any plants in the property? If yes, please describe their condition (naturally healthy, yellow leaves, die fast, plastic, etc.)

22

Please tell me more about the building surroundings. Are there busy streets?

Select one or more answers
23

During the day, is there any noise? Which ones?

24

At night, is there any noise? Which ones?

25

Is there any strong smell at the property? Where does it come from?

26

What is the type of floor material? How long ago was it installed?

27

Do you know what type of paint was used around the property? How long ago was it painted?

28

What is the source of drinking water in the residence/office? Piped water filter, mineral water, or other? Describe the manufacturer's name and model, if applicable.

29

Please list the manufacturer's name and model of each cleaning products (detergent, floor cleaning, multi-use, bathroom cleaning, glazing, etc ...) used in the premises

30

Where do you store the cleaning products? Is it the same place food is stored?

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Healthy Home Assessment
31

From a scale of 0 to 10: How much do you like this property?

(0 meaning that you want to move out immediately, and 10 that you love this property, and you never want to leave.)
32

From a scale of 0 to 10, classify for each resident the feeling of personal energy.

Being 0 minimal energy, and 10 maximum energy.

Let me know a little more about this place?

Please send me the Floor Plan and Descriptive Memorial and Technical Specifications by e-mail - healthydesign@louisesander.com

It is easy to create a survey free