This form can assist us in preparing your proposal - if you choose to proceed this way. As always, if you would prefer a phone consultation, we are more than happy to provide one. And finally, you may fill out this form, receive a proposal, and then have a phone consultation once you have the proposal in hand.

Complete information in each field is required to receive a proposal.

E-mail Address: *
Your Name: *
Phone Number: *
Property Address: *
How old is your home? *
Do you have carbon monoxide monitor? *
What was the Radon level when you tested? *
What part of the house did you test in? *
Is it a home you live in, are selling, or buying? *
If an agent, Listing or Selling? *
How many square feet is the basement? *
Is the basement finished or unfinished? *
Does the basement have a slab on grade concrete floor or another type of floor? *
Do you have a crawl space or any exposed dirt in the lowest level of the home? *
If there is a crawl space, what is the square footage? Height?
If there is a crawl space, is it one room or is it split up into different rooms? *
If there is a crawl space, are the furnace or hot water heater in the crawl space? *
If there is a crawl space, are there any pillars/foundation walls in the crawl space? *
If there is a crawl space, does the crawl space have a vapor barrier? *
Does the house have a sump pit? *
Do you have a sump pump?
If there is a sump pit, is it in a finished or unfinished part of the basement? *
Is there a perimeter drain/french drain/foundation drain around the foundation of the house?
Do you have an attached garage?
Is there living space above your garage?
Have there been any additions such as rooms added, etc made to your house since is was built?
What is the total square footage of the home, including basement? *
What kind of house is it? (i.e. 2 story, ranch, tri-level, etc.) *
What is the exterior made of (i.e. brick, stucco, siding, etc.)? *
How did you find our company? *

* Required


Radon Safety LLC - 885 Parfet Street, Suite F, Lakewood, CO 80215 - Phone: 303-462-5000

Radon Safety and Liability Protection LLC accepts MasterCard, Visa and American Express