Is your home safe? Is your household 40 years or older? —Please choose an option—YesNo Has your home been previously owned? —Please choose an option—YesNo In the last 10 years, has your home undergone major additions, renovations or had a major appliance installed? —Please choose an option—YesNo Do your lights dim or flicker when you turn something on? —Please choose an option—YesNo Are your light switch and outlet face plates discoloured or hot to touch? —Please choose an option—YesNo Do your power outlets or light switches crack, sizzle or buzz? —Please choose an option—YesNo Are extension cords or multiboxes permanently in use around your property? —Please choose an option—YesNo Name: Email: Contact phone: Message:
