New Client Questionnaire

Thanks for taking the time to complete this questionnaire. The more your share, the quicker we can come to understand the challenges in the home.

Name *
Address *
Package interested in: *
How committed are you to implementing the changes you need to creating a healthier/happier home? *
How committed are you to implementing the changes you need to creating a healthier/happier home?
What are the main reasons for contacting Nicole?
Health Concerns of occupants

In this disclaimer:-

I means Nicole Beringer, trading as The Holistic Home,
"you" means you, the client

The purpose of this assessment carried out by us is to assist you in ascertaining whether there are electromagnetic fields, mobile phone towers, chemicals and toxins, moulds and bacteria, allergens or impurities in the water supply which may affect you, other inhabitants, or visitors to the subject property.
1. The scope of the assessment was those areas of the property (subject to the limitation in paragraph 3) and those tests and sampling specifically sought or agreed by you to be carried out.

2. No liability shall be accepted on account of the failure of the assessment report to address any issues not sought by you or for any area at the subject property to which access for audit is denied or is unable to be easily accessed, and only records the observations and conclusions we have made based on your request. We will not accept responsibility for any test result relating to an area which the equipment could not access without the removal of any structure, fittings or fixtures.

3. We will not be liable for any loss, damage, cost or expense, whatsoever, suffered or incurred by any person other than you in connection with the use of the audit report by that person for any purpose or in any way, including the use of this audit report for any purpose connected with the sale, purchase, or renovation of the subject property, to the extent permissible by law. The only person to whom we may be liable and to whom losses arising in contract or tort sustained may be payable by us is you the client. Any third party relying on this audit report whether in whole or part does so at their own risk.

4. This assessment report is accurate at the time of the assessment. The results of the tests and sampling undertaken represent the conditions prevailing at the time of sampling and are not necessarily representative of all the conditions to which the subject property is subjected, and as a result, may not accurately reflect the issues that may be applicable on some other day or time.

5. Any recommendations in this audit report are our solutions or remedies of what may be done by you to alleviate matters of concern raised by the audit report based on our knowledge and experience at the time of preparing this report, and are not to be taken as being exhaustive of all possible solutions or remedies.

6. Deposit will be made in full prior to the assessment and to secure the assessment appointment. The balance of the invoice sent will be paid in full prior to you receiving the report and any results.

Yes I agree