Survey regarding radon remediation and subsequent lung cancer risk

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* 1. Please provide details about your home.

Your Name:

City/Town:

State/Province:

ZIP/Postal Code:

Country:

Email Address:

Year in which you moved into your house

Year in which radon remediation was performed in your home

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* 2. Details about Radon Remediation in your home:

Name of company that performed radon remediation

Name(s) of person(s) or organization(s) based on whose recommendation you had radon level measurements and remediation performed

Radon Level before Remediation

Radon Level after Remediation

Approximate cost of remediation (in your local currency)

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* 3. Did anyone in your household develop lung cancer AFTER the radon remediation was performed?

Yes

Other (please specify)

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* 4. Details regarding the person who developed lung cancer AFTER radon remediation

Name

Gender

Age at the time of diagnosis

Smoker? (Yes/No)

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* 5. Did anyone in your household develop lung cancer BEFORE the radon remediation was performed?

Yes

Other (please specify)

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* 6. Details regarding the person who developed lung cancer BEFORE radon remediation

Name

Gender

Age at the time of diagnosis

Smoker? (Yes/No)

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* 1. Please provide details about your home.

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* 2. Details about Radon Remediation in your home:

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* 3. Did anyone in your household develop lung cancer AFTER the radon remediation was performed?

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* 4. Details regarding the person who developed lung cancer AFTER radon remediation

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* 5. Did anyone in your household develop lung cancer BEFORE the radon remediation was performed?

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* 6. Details regarding the person who developed lung cancer BEFORE radon remediation

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* 7. Any Comments or Suggestions?