Home Check Survey Let’s Check Your House Do you have smoke alarms in your home? Yes, in every roomYes, but only in someNoI'm not sure When were the smoke alarms last inspected or serviced? Within the past month1 to 6 months6+ monthsI'm not sure Next 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 sure Back Next 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 sure Back Next 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/A If your home has a fireplace, has it been inspected or serviced within the past 12 months? YesNoI'm not sureN/A Does your home have a fire blanket? YesNoI'm not sure Does your home have a first aid kit? YesNoI'm not sure Have 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 year When was the last time your HVAC filters were changed or cleaned? Within the past month1 to 6 months6+ monthsI'm not sure How many bedrooms and bathrooms do you have in your home? Bedrooms Bathrooms Back Next Thanks for completing the survey! Fill out this contact form and we’ll email you your results. Whats your name and email address? Back
