Indoor Air Pollutants
Kitchen
Unvented gas burners (3)
Unvented gas oven (3)
Unvented gas or electric clothes dryer (3)
Aerosols and other cleansers:
Oven Cleaner (1)
Air freshener (1)
Other aerosols - enter # of bottles (½ pt ea)
Water and Stain repellent (1)
Disinfectant (1)
Scouring powder with chlorine (1/2)
Ammonia (1)
General purpose cleaner (1/2)
Spot remover (1)
Self-cleaning floor wax (1)
Living Room
Fireplace or wood stove (4)
Coal stove (4)
Wall-to-Wall carpeting (2)
Carpets cleaned with rug shampoo(1)
Decorative partition walls or paneling
less than 1 year old (3)
less than 3 years old (2)
3 or more years old (1)
Furniture or shelving made with particleboard or plywood
less than 2 years old (2)
2 or more years old (1)
Upholstered furniture (1)
Bedrooms and Nursery
Unvented gas or kerosene space heaters (4)
Cool-mist humidifier (2)
Air conditioners - enter number (1 pt each)
Bathroom
Enclosed stall shower (1)
Aerosols and other cleansers:
Hair spray (1/2)
Deodorant (1/2)
Air freshener (1)
Shaving cream (1/2)
Tub and tile cleaner (1)
Disinfectant (1)
Housekeeping
Dusting, sweeping, shaking out bedding twice a week (1)
Portable vacuum cleaner (1)
Dusting spray (1)
Furniture polish (1)
Basement
Gas or oil furnace (2)
Gas or oil hot-water heater (2)
Asbestos pipe insulation (3)
Unfiltered forced-air heating system (2)
Garage
Attached garage (4)
Building Superstructure
Plywood, particleboard, fiberboard in new homes (3)
Urea-formaldehyde foam insulation
less than 1 year old (4)
less than 5 years old (3)
5 or more years old (2)
Glass-fiber insulation in attic or below ground floor
(2)
Vapor barrier (such as tar paper) for insulation (1)
Asbestos shingle facade (1)
Double- or triple- glazed thermal windows (2)
Foundation-Subsoil
High radon content in soil or bedrock (4)
Treatment for termites, ants or flies within past 5 years
(3)
Water Supply
Private well in a radon-prone area (3)
Miscellaneous
Enter # of family members who smoke (4 ea)
Enter # of regular visitors who smoke (3 ea)
Pet birds or furry animals (1)
Indoor use of pesticides
regularly (2)
rarely (1)
Hobbies
Woodworking, carpentry (2)
Model building (1)
Jewelry or lamp making or other use of soldering tools
(2)
Graphic art or other use of spray adhesives, marking pens,
etc. (1)
Pre-1978fluorescent lights (1)
Partially used cans of polyurethane, paint, solvents,
paint stripper stored in house (1)
Indoor dampness, especially in winter (2)
Any unusual or foul indoor odors (1)
Lingering odors (1)
Air Quality Enhancers
Enter number of units for: Use of an ion generator, electrostatic
precipitator or effective air filter for indoor air cleaning
(4 ea)
Maintenance and use of an effective air filter in a forced-air
heating system (4)
Windows opened for ventilation in all seasons (4)
Use of a heat exchanger to provide ventilation without
sacrificing energy efficiency (6)
Central vacuum cleaning system (2)
Final Score:
Scoring
0-15:
Very high indoor air quality
16-25:
Fairly safe indoor air quality with room for improvement.
26-50:
Family members who spend long periods indoors or who suffer
from allergies or other sensitivities may suffer adverse
effects. Acute conditions such as respiratory problems,
irritability or fatigue may appear. Chronic health problems
and long-range illnesses may develop.
50+:
Poor indoor air quality that could easily lead to both
short-therm and long-range health problems.