Self Assessment Tool

Self Assessment

Do you have metal roof?
You have metal roof : [dynamic_value]
Do you have solar panels?
You have solar panels: [dynamic_value]
Is your home over 3,500 square feet?
Your home is over 3.500 square feet: [dynamic_value]
Are extra large powerlines within 100 yards?
Extra large power lines are within 100 yards: [dynamic_value]
Are you within 100 yards of a cell tower?
You are within 100 yards of a cell tower : [dynamic_value]
Is a Transformer box or barrell in your yard (on either the ground or a powerline)?
Transformer box or barrell on the ground or on a powerline in your yard: [dynamic_value]
Answer only if you are in a Condo or Apartment: do you have a neighbor touching 3 or more sides of your home? (Sides = walls, floor, & ceiling)
Do you have a neighbor touching 3 or more sides of your home? (Sides = walls, floor, & ceiling) : [dynamic_value]
Answer only if you are in a Condo or Apartment: do you have a neighbor touching only 1 or 2 sides of your home? (Sides = walls, floor, & ceiling)
Do you have a neighbor touching only 1 or 2 sides of your home? (Sides = walls, floor, & ceiling) : [dynamic_value]
you have [dynamic_value] beds in the home that are not adjustable.
[dynamic_value] beds you plug into an outlet
[dynamic_value] of these (Wi-Fi Router, Wi-Fi Extender, Smart Home Device such as Google Home or Alexa) you have in your room
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How many of these do you have in or just outside of a bedroom

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You have [dynamic_value] of these devices Baby Monitor Cameras, Wi-Fi Printers, Playstation, X-Box, Fire stick, a Cordless Phone Main Station, or other Wi-fi or Bluetooth devices
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You have [dynamic_value] of these devices Fans (ceiling or other), Air Purifiers, Essential Oil Diffusers, window A/C units, Humidifiers, or any other Electric Motor-containing devices
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You have [dynamic_value] Baby Monitor Viewing Screens
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You have [dynamic_value] Cordless Phone
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How many of these do you NOT have in or just outside of a bedroom?

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You have [dynamic_value] of these Wi-Fi Printers, Playstation, X-Box, Fire stick, a Cordless Phone Main Station, or other Wi-fi or Bluetooth devices
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You have [dynamic_value] of these Air Purifiers, Essential Oil Diffusers, window A/C units, Humidifiers, or any other Electric Motor-containing devices
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You have [dynamic_value] Fans (ceiling or other)
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You have [dynamic_value] Cordless Phone Headsets(exclude ones only used for emergency)
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How many desktop computers are being used this often on average?

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You have used [dynamic_value] Over 2 Hours per day
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You have used [dynamic_value] Under 2 Hours per day
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How many LAPTOPS or TABLETS are being used this often on average

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You have used [dynamic_value] Over 2 Hours per day
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You have used [dynamic_value] Under 2 Hours per day
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How many of these do you have in your home?

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You have [dynamic_value] People over the age of 14
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You have [dynamic_value] Children 14 years or younger
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How many Cell Phones are being used regularly?

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You have [dynamic_value] of these (iPhone 12, 13, 14 or other “MagSafe” phones)
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You have [dynamic_value] of ALL OTHER Cell Phones?
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You have [dynamic_value] household work in a cubical or office outside of the home?
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You have [dynamic_value] rooms your family sleep in when you go on vacation or travel
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How many automobiles are driven:

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You have [dynamic_value] automobiles driven OVER 10 hours/week (on average)
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You have [dynamic_value] automobiles driven Under 10 hours/week (on average)
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You have [dynamic_value] automobiles driven over 10 hours/week are also Electric Cars