HAZ-MATTERS
of Wyoming, Inc.

Personal Allergen Home Test

Fill out the Allergen Home Test Form below to determine how your efforts are at ridding your home of allergens.

Listed below are 20 questions. Please click yes or no to each question, fill in your first name and then click "Process Results".

Have you removed the mold and mildew from your tubs and tile in the past month?
Yes No
Have you cleaned behind and beneath your refrigerator, washer, and dryer in the past 6 months?
Yes No
Have you had your carpets cleaned professionally or have you steam cleaned them yourself in the past 12 months?
Yes No
Does your home have a central air conditioning or heating system or a dehumidifier?
Yes No
Do your pillows and mattresses have allergenic coverings?
Yes No
Does your home have a central vacuuming system?
Yes No
Have you cleaned the inside of your closets in the past 6 months?
Yes No
Have you emptied and cleaned your refrigerator shelves and drawers in the past 6 months?
Yes No
Have you emptied and cleaned your bookshelves in the past 6 months?
Yes No
Have you moved your furniture (dressers, chest, sofas, etc...) and vacuumed or cleaned beneath then in the past 6 months?
Yes No
Have you installed air filters or purifiers in any part of your home?
Yes No
Do you change the filter on your air conditioning system at least once every 3 months or shorter?
Yes No
Do you keep pets (cats, dogs, hamsters, etc...) out of the bedrooms and if possible keep them outside?
Yes No
Do you wash your bedding in hot water at least once a week?
Yes No
Do you have your home regularly treated by an exterminator?
Yes No
Have you washed your walls and baseboards in the past 6 months?
Yes No
Have you emptied and washed your kitchen cabinets and drawers in the past 6 months?
Yes No
Do you vacuum your house at least once a week?
Yes No
Have you dusted your light fixtures or ceiling fans in the past month?
Yes No
Have you dusted your furniture with a damp cloth in the past 2 weeks?
Yes No

Enter your name:

For additional information enter your e-mail address:

Haz-Matters, Inc, 1-800-341-4898 Call for more information or if with questions?

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