Self Assessment Tool

you have [dynamic_value] beds in the home that are not adjustable.

[dynamic_value] beds you plug into an outlet

[dynamic_value] of these (Wi-Fi Router, Wi-Fi Extender, Smart Home Device such as Google Home or Alexa) you have in your room

You have [dynamic_value] of these devices Baby Monitor Cameras, Wi-Fi Printers, Playstation, X-Box, Fire stick, a Cordless Phone Main Station, or other Wi-fi or Bluetooth devices

You have [dynamic_value] of these devices Fans (ceiling or other), Air Purifiers, Essential Oil Diffusers, window A/C units, Humidifiers, or any other Electric Motor-containing devices

You have [dynamic_value] Baby Monitor Viewing Screens

You have [dynamic_value] Cordless Phone

You have [dynamic_value] of these Wi-Fi Printers, Playstation, X-Box, Fire stick, a Cordless Phone Main Station, or other Wi-fi or Bluetooth devices

You have [dynamic_value] of these Air Purifiers, Essential Oil Diffusers, window A/C units, Humidifiers, or any other Electric Motor-containing devices

You have [dynamic_value] Fans (ceiling or other)

You have [dynamic_value] Cordless Phone Headsets(exclude ones only used for emergency)

You have used [dynamic_value] Over 2 Hours per day

You have used [dynamic_value] Under 2 Hours per day

You have used [dynamic_value] Over 2 Hours per day

You have used [dynamic_value] Under 2 Hours per day

You have [dynamic_value] People over the age of 14

You have [dynamic_value] Children 14 years or younger

You have [dynamic_value] of these (iPhone 12, 13, 14 or other “MagSafe” phones)

You have [dynamic_value] of ALL OTHER Cell Phones?

You have [dynamic_value] household work in a cubical or office outside of the home?

You have [dynamic_value] rooms your family sleep in when you go on vacation or travel

You have [dynamic_value] automobiles driven OVER 10 hours/week (on average)

You have [dynamic_value] automobiles driven Under 10 hours/week (on average)

You have [dynamic_value] automobiles driven over 10 hours/week are also Electric Cars