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For Pros
Contact
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Home Assessment Form

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About
Our Tech
Solutions
For Pros
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Knowledge Base
Shop now
Home Assessment Form

Home Assessment Form

Please enter required information so we can best assist you in healing your home.

1Basic info

2Home info

3Water Damage

4Mold

5Room Dimensions

LET'S ASSESS YOUR MYCOTOXIN SITUATION

Let's start with some basic contact info

Name(Required)

First Last

Address(Required)

Address City State ZIP Code

Do you have a crawlspace?

Is your home built on slab foundation or pier and beam?(Required)

Yes

No

Is your attic accessible?

Is your attic accessible?(Required)

Yes

No

Do you have HVAC or distributed ductwork servicing your home?

Do you have HVAC or distributed ductwork servicing your home?(Required)

Yes

No

When was your last duct work cleaning?

HVAC Service Date

Leave blank if not sure

Are you aware of previous leaks or water damage?

Are you aware of previous leaks or water damage?(Required)

Yes

No

Where was the water damage and/or leaks located?

Where was the water damage and/or leaks located?

Has a professional inspected the water damage and repaired the leak(s)?

Has a professional inspected the water damage and repaired the leak(s)?(Required)

Yes

No

Do you have visible mold growth?

Do you have visible mold growth?(Required)

Yes

No

Unsure

Where is the mold located?

Where is the mold located?(Required)

Is the mold growth larger than 10sqft?

Is the mold growth larger than 10 sqft?(Required)

Yes

No

HOME DIMENSIONS

Please add dimensions of all rooms in your home, including closets, pantries, hallways, crawlspaces, basements, and/or attics.

Click "+" to add rooms

Home Dimensions(Required)

Room Name

Length (ft)

Width (ft)

Height (ft)

Phone

This field is for validation purposes and should be left unchanged.

ENVIRONMENTALLY EFFICIENT

Superstratum products are 95% water based and are hyper efficient. This utilization rate extends the life our products, using less from mother nature. Making less purchases for you. With Superstratum less is certainly more.

Superstratum Offices & Locations

Offices

Ruston, LA
Nashville, TN
Dallas, TX
Charlotte, NC
Los Angeles, CA

Distribution Center

Mt. Pleasant, TN
Statesville, NC

Manufacturing/R&D

Statesville, NC

SUPERSTRATUM

PO BOX 13130 Ruston, LA 71273
(615) 235-7299‬

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SMART POLYMER COATING FABRIC
EVERYDAY CLEANER
SMART POLYMER COATING
Multi-Cluster Ionization
Chlorine Dioxide

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Last Name

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