Home Check SurveyLet’s Check Your House Do you have smoke alarms in your home?Yes, in every roomYes, but only in someNoI'm not sureWhen were the smoke alarms last inspected or serviced?Within the past month1 to 6 months6+ monthsI'm not sureNext How many fire extinguishers do you have in your home?Select a quantity Have your fire extinguishers been inspected or serviced in the past 6 months?YesNoNot sureBackNext How many carbon monoxide detectors does your home have?Select a quantity When were the carbon monoxide detectors last inspected or serviced?Within the past month1 to 6 months6+ monthsI'm not sureBackNext Do you have an appropriate fire escape ladder for the above ground floors of your home? (e.g., 2nd floor, 3rd floor)YesNoI'm not sureN/AIf your home has a fireplace, has it been inspected or serviced within the past 12 months?YesNoI'm not sureN/ADoes your home have a fire blanket?YesNoI'm not sureDoes your home have a first aid kit?YesNoI'm not sureHave you experienced any of the following plumbing issues within the past year? (check all that apply)LeaksClogsSlow flowing drainsWater pressure issuesWater heating issuesBad odorsNo known plumbing issues in the past yearWhen was the last time your HVAC filters were changed or cleaned?Within the past month1 to 6 months6+ monthsI'm not sureHow many bedrooms and bathrooms do you have in your home?Bedrooms BathroomsBackNextThanks for completing the survey! Fill out this contact form and we’ll email you your results.Whats your name and email address? Back
