CIRCA Mold Inspection Interview
Thank you for choosing CIRCA Property Inspection Services to evaluate your property. The questions in this interview are for your inspector to gain further knowledge on your property and the conditions you are experiencing.

Please review our CIRCA Mold Inspection webpage for important details on the scope of our various services along with valuable reference links that you can use to verify qualifications and gain further knowledge during the inspection process.

Your CIRCA Inspector is IAC2 (International Association of Certified Indoor Air Consultants) certified.

Your CIRCA Inspector is an InterNACHI (International Association of Certified Home Inspectors) Certified Home Inspector, Indoor Air Quality Inspector and Certified Mold Inspector. These certifications require robust continuing education in addition to North Carolina's licensing and continuing education requirements.

Once you have completed this interview we will contact you at the phone number provided to discuss the details of pricing & appointment scheduling.

Thank you for your time. Please do not hesitate to contact our office, available 7 days, 8am-5pm at 704-900-4377 if you have any questions.
Sign in to Google to save your progress. Learn more
Email *
Current Litigation: Is there any active litigation in process or being considered in relation to mold in the property.  If so, in accordance with IAC2 standards we are unable to perform mold inspections on properties actively involved in litigation proceedings. Please contact a licensed industrial hygienist to  assist you with legal proceedings.
Clear selection
Physician Involvement: Are you or any other occupants of the property under the care of a physician who has diagnosed mold-related illness or symptoms? If so, have you had lab testing to verify? If a lab tested diagnosis has occurred in accordance with the IAC2 Standards of practice we are not permitted to perform a mold inspection. Please contact a licensed industrial hygienist to  assist you with medically diagnosed resolutions.
Clear selection
Name (First, Last) *
Phone number *
What is the best day(s) and time(s) for us to contact you?
Subject Property Address *
Property Description (Single Family Home, Commercial Building, Apartment, Condo, Townhouse etc.) *
Do you own or lease the property?
Clear selection
What is the square-footage of the property.
What is the age or year built of the property. How long have you occupied in the property?
Property Foundation Type? Select all that apply.
Clear selection
Does the property have an attached garage?
Clear selection
Does the property have any installed carpeting?
Clear selection
HVAC Systems: How many HVAC Systems are in the property?
Visible Mold/Fungal Growth: Have you ever noticed any suspected mold growth in the property? Including walls, floors, ceilings, cabinets, furnishings, personal belongings etc.
Are you aware of any active or previous water leaks or intrusions: Examples: flooding, plumbing leaks, roof leaks, crawlspace moisture etc.  If so, please describe and list any repairs.
Have you noted any areas of the property that have a musty odors or damp feeling?  Does it make a difference in symptoms if the HVAC is running or off?  Please list location(s) and description.
Have you ever had any previous reports or evaluations of water intrusions, moisture issues or mold? Ex: A home inspection upon purchasing, contractor evaluations etc. Please list details.
Are you or any of the properties occupants currently experiencing or have ever experienced their health affected by asthma, allergies, breathing problems or suspected mold exposure?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms