| Statement |
Yes |
No |
N/A |
| I change the air
filters in my HVAC system regularly. |
2 |
0 |
|
| The kitchen, laundry
room and bathrooms in my home have ventilation and exhaust fans. |
2 |
0 |
|
| I use an air purifier
in several rooms in my home. |
2 |
1 |
|
| All humidifiers in my home are refilled with clean
water daily. |
1 |
0 |
1 |
| I clean and change the microwave and hood range filters
in my kitchen regularly. |
2 |
0 |
|
| The filter, bag and
belt in my vacuum cleaner is regularly changed. |
2 |
0 |
|
| I use a vacuum with a high efficiency filter. |
2 |
0 |
|
| I turn on the hood
vent above my stove while cooking. |
2 |
0 |
|
| When cleaning, I use bleach, ammonia and/or aerosol
spray cans. |
0 |
2 |
|
| I open a window or turn on an exhaust fan while using
chemical household cleaners. |
2 |
0 |
|
| I use insecticides and/or pesticides (including moth
repellents) indoors. |
0 |
2 |
|
| My home has been checked for lead-based paint. |
2 |
0 |
|
| The pressed wood cabinets in my kitchen are coated with
a polyurethane finish to prevent formaldehyde emissions. |
1 |
0 |
1 |
| My home was recently renovated with new carpets,
furniture, and/or paint. |
1 |
2 |
|
| My gas fireplace and/or stove is checked yearly for
emissions. |
1 |
0 |
1 |
| The burner flames on my gas appliances appear yellow
instead of blue. |
0 |
1 |
1 |
| There is carpet installed in one or more bathrooms in
my home. |
0 |
2 |
|
| I have hardwood floors throughout my home instead of
wall-to-wall carpet. |
2 |
1 |
|
| My home is insulated with urea formaldehyde or asbestos. |
0 |
2 |
|
| The draperies and floor tiles in my home contain
formaldehyde or asbestos. |
0 |
2 |
|
| My furniture is smooth, non-upholstered and easy to
clean. |
2 |
1 |
|
| I clean the sinks, showers and tubs in my bathrooms
regularly. |
2 |
0 |
|
| I wipe down the walls of my shower after each use. |
2 |
1 |
|
| I keep shower doors and curtains open. |
2 |
0 |
|
| Humidity and temperature in my home are properly
maintained. |
2 |
0 |
|
| I smoke inside the house. |
0 |
2 |
|
| There are carbon monoxide detectors installed inside my
home. |
2 |
1 |
|
| There are plumbing leaks and leaks around appliances
that need to be fixed. |
0 |
2 |
|
| The area underneath all the sinks in my home is kept
consistently dry. |
2 |
0 |
|
| I clean, vacuum and dust often. |
2 |
0 |
|
| I wash all bedding in hot water once a week. |
2 |
0 |
|
| Bedding is encased in allergen-impermeable covers. |
2 |
1 |
|
| I use non-toxic household cleaning products. |
2 |
0 |
|
| My home has been tested for radon and any possible
sources have been eliminated. |
2 |
0 |
|
| I keep several furry pets inside my home. |
0 |
2 |
|
| I frequently burn candles and use room deodorizers. |
0 |
2 |
|
| I have frequent allergies that worsen when inside my
home. |
0 |
2 |
|
| I notice strange, lingering odors inside my home. |
0 |
2 |
|
| I notice "ghosting" (staining or discoloration of
walls, carpets and ceilings) in several areas. |
0 |
2 |
|
| Sometimes I leave my car on and idle while it is parked
in the enclosed garage. |
0 |
2 |
|