First, tell us a little about yourself... Name* First Last Email* Phone*Street Address*City*State*Please selectAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingZip Code*Do you believe that your health is being impacted by mold exposure?*Please selectYesNoDo you believe there is a mold problem in your home?*Please selectYesNoDo you own your home?*Please selectYesNoIs your home larger than 1,500 square feet?*Please selectYesNoWhat are you wanting to achieve by working with We Inspect?*Please selectRemediate my home so I can heal.Decide whether I should stay or move from my homeGet information to pursue legal action.CAPTCHAOnboarding FormWhy do you believe that your health is being impacted by mold exposure?*(Allergies, sinus issues, blood test results, etc.)Why do you believe there's a mold problem in your home?*(Sample results, smells/odors, visible growth, etc.)Do you have clinicial testing, or has your doctor confirmed that mold is impacting your health?*Please selectYesNoClinical Testing Results*Have you done any testing in your home already?*Please selectYesNoHome Testing Results*What type of home do you live in?*Please selectSingle FamilyTownhomeApartment / CondoOtherIf "Other", Please Specify Type of Home*Square Footage of Home*1,500 - 3,500 sf3,500 - 5,000 sf5,001 - 6,500 sf6,500 - 8,000 sf8,000+ sfWhen was your home (or building) built?*How long have you lived in your home?*Do you have an attic?*Please selectYesNoIf yes, is there access to the attic?*Please selectYesNoDo you have a basement?*Please selectYesNoBasement Type*Please selectFinishedPartially FinishedUnfinishedDo you have a crawl space under your home?*Please selectYesNoIf yes, is there access to your crawl space?*Please selectYesNoDo you have central heating or air conditioning?*Please selectYesNoHow many central heating/cooling systems do you have?*Approximate age (years) of your central heating/cooling system?*Where is your central heating/cooling system located? Basement Crawl Space Attic Interior Closet Home Exterior RoofAre you aware of any previous leaks or water events in your home? If so, please describe.How did you hear about us?*Please selectDoctor or Health CoachSocial Media#moldfinders: Radio PodcastOther PodcastReferred by another We Inspect clientOnline SearchOtherDoctor / Health Coach Name*If Other*What made you reach out to us? (i.e. What's your mold story? Health issues?)*Please describe the timeline or order of events leading up to this application. How did you get to this point of contacting us?