Five Boro Mold Specialists
718-677-6653
Please Fill Out The Form Below
Name
Comments, Questions etc..
Phone
Address
Email
Please Select From The Following Questions:
Has There Ever Been A Flood Or Water Damge On Your Premises
Other
Other
If Yes, Then How Long Ago
Is Anyone Pregnant On The Premises?
Is There Any Visible Mold On Walls, Floors Or Ceilings ?
Is There A Smell Throughout The Property
On A Scale Of 1 - 10 How Bad Is The Smell
Was A Physician Contacted About Your Symptoms
Do You Or Anyone Have Allergy Symptoms
In What Rooms And On Which Floor Or Floors Do You Suspect Mold
Other
Please Describe The Damage Or Flood Incident
Has An Insurance Claim Been Filed ?
If So, Who Is The Adjuster
