Property Screening Application

Sensitive Rentals Screening Application: Thank you for considering Sensitive Rentals to screen your home and provide information to individuals that may want to rent your property. By providing this information, you'll be guaranteeing that guests will have a much better experience and recommend your property to friends and family.

What is your name?(Required)

First Last

Email(Required)

Phone(Required)

What is the property address?(Required)

Street Address City State ZIP Code

About This Screening: These next sections will be asking you particular questions about your home. No home will be perfect and it is okay if you answer a question that you feel may not be the most desirable choice. Most people just want to know that there are safer options out there and will be happy to stay in a home even though it may not be perfect. Thank you for your time. This service is much desired and your transparency is much appreciated!

Sensitive Soaps and Cleaning Supplies: Why are we asking? There are a vast amount of people that have allergies or sensitivities to certain products. Sometimes these reactions are severe. Also, more people are wanting a healthier environment and are a choosing less toxic chemicals when cleaning, as well as, fragrance free. Please take the time to answer these questions to help those that may be sensitive.

Are fragrance free products used in home?

Yes

Please explain.(Required)

Floors:(Required)

Kitchen:(Required)

Shower:(Required)

Carpet:(Required)

Windows:(Required)

Furniture:(Required)

Laundry Detergent:(Required)

Dishwasher Detergent:(Required)

Hand Soap:(Required)

Shampoo/Conditioner?(Required)

If none, type "N/A".

Other cleaning supplies:(Required)

If none, type "N/A".

Do you thoroughly clean after each guest?(Required)

Yes

Air Fresheners: Why are we asking? There are a vast amount of people that react to scents/fragrances. Most air fresheners, candles and sprays have chemicals in them that can make people sick over time. Some people that are more sensitive become sick right away. Even essential oils can make some people react. Please take the time to answer these questions to help those that may be sensitive.

Are air fresheners used (plug-ins, sprays, toilet sprays, etc.)?(Required)

Yes

Please explain.(Required)

Are candles used in home?(Required)

Yes

Type of Candles(Required)

Are essential oil diffusers used in home?(Required)

Yes

Type of Oil Diffusers(Required)

Is this house fragrance free to best of your ability?(Required)

Yes

E.g., perfume, cologne, hairspray, scented deodorant free, etc.

Please add any details you can. (Optional)

Is it a smoke-free residence?(Required)

Yes

E.g., no cigarettes, cigars, vaping, marijuana, etc.

Please add any details you can. (Optional)

Are animals permitted on the property?(Required)

Yes

What type of animals are permitted?(Required)

Kitchenware: Why are we asking? There are a vast amount of people that react to certain chemicals or metals in kitchenware. One person may do better with ceramic while another does better with stainless steel. Also, a lot of people have a preference of what they cook with to avoid the leaching of chemicals in their food. Please consider taking the time to answer these questions to the best of your ability to help those that are sensitive.

Are pots and pans ceramic, stainless steel, cast iron or glass?

Ceramic

Stainless Steel

Cast Iron

Glass

A combination of two or more

Other

Additional information about pots and pans: (Optional)

Are plates glass, plastic, ceramic, stainless steel, bamboo, etc?(Required)

Glass

Plastic

Ceramic

Stainless Steel

Bamboo

None of these

Additional information about plates: (Optional)

Are utensils glass, plastic, ceramic, stainless steel, bamboo, etc?(Required)

Glass

Plastic

Ceramic

Stainless Steel

Bamboo

None of these

Additional information about utensils: (Optional)

Are cups glass, plastic, ceramic, stainless steel, bamboo, etc?(Required)

Glass

Plastic

Ceramic

Stainless Steel

Bamboo

None of these

Additional information about cups: (Optional)

Type of Fuel for Stove:(Required)

Gas

Electric

Wood

Propane

Please let us know any other details about the type of fuel you use for your stove. (Optional)

Are garbage bags- scent free?(Required)

Yes

Water Filtration System: Why are we asking? Some water can contain chemicals, bacteria, parasites etcetera and with the rise in chemical sensitivities and allergies, water quality is starting to really matter to individuals. Please consider filling out this section to the best of your ability.

Do you have city water or well water?(Required)

We get our water from the local municipality.

We get our water from a well or underground spring.

Do you have a Faucet Filter?(Required)

Yes

Please add any additional details here. (Optional)

Do you have a Refrigerator Filter?(Required)

Yes

Please add any additional details here. (Optional)

Do you have a Shower Filter?(Required)

Yes

Please add any additional details here. (Optional)

Do you have a Whole House Filter?(Required)

Yes

Please add any additional details here. (Optional)

Do you have another water filter not mentioned above?(Required)

Air: Why are we asking? There is a vast amount of people with allergies and sensitivities. Some severe. Walking into a house with filters that have not been changed or cleaned promptly can make some sensitive individuals sick. Also, having up-to-date filters and regular cleaning will give those looking for a clean, healthy house to stay in a peace of mind. Please consider filling out this section to the best of your ability.

Does your home use an air-cooling system?(Required)

Window A/C Unit(s)

Central Air

Mini-split Unit

Other

None

When was your unit last cleaned, or how often?(Required)

Please provide any additional details. (Optional)

When was the filter last cleaned?(Required)

When were the HVAC ducts cleaned?(Required)

Heating System: Why are we asking? There are some sensitive people that react to certain elements. Someone may tolerate forced air but may react to oil or vise versa. Please consider filling out this section to the best of your ability.

What heat source(s) are used in your home?(Required)

Radiant Heat

Hot Water Boiler

Electric Base Board

Oil

Wood Stove

Propane

Other

Please explain further. (Optional)

How is heat distributed in your home?(Required)

Radiant Flooring

Forced Air

Baseboard

Other

Please explain further. (Optional)

Bedding: Why are we asking? This is a place where people spend an average of 7-8 hours per day in. There are a vast amount of people with allergies, sensitivities or just wanting a healthier lifestyle. Some sensitive people may react to flame-retardants in bedding or maybe some sensitive people may react to the latex in the bed. Whatever a person’s sensitivity may be, please consider filling out this section to the best of your ability in order to help someone prepare for their stay.

Bedding Information:(Required)

Pillow Information:(Required)

Sheets and Pillowcases:(Required)

Comforters and Blankets:(Required)

Furniture: Why are we asking? If furniture has not off-gassed, it can release Volatile Organic Compounds (VOC’s). A sensitive person may react to this. Also, a person can react to certain material/fabric. Please consider filling out this section to the best of your ability.

Please tell us some general information about the furniture in your home. Example, If you use furniture covers and approximate age of furniture. Most people just want to know if furniture has off-gased.(Required)

Floor: Why are we asking? If materials have not off-gassed, it can release Volatile Organic Compounds (VOC’s). A sensitive person may react to this. Also, a person can react to certain material/fabric or may have a preference. Please consider filling out this section to the best of your ability.

Please check the different types of flooring you have in your home.(Required)

Carpet

Hardwood Floors

Laminate

Vinyl

Marble

Polyurethane-Covered Floor

Ceramic

Tile

Other

What other information would you like to tell us about the flooring in your home?(Required)

EMF (Electromagnetic Frequency) Protection: Why are we asking? Some sensitive individuals may react or maybe they just care about the amount of electromagnetic frequencies surrounding them. EMF’s can disturb someone’s sleep, cause headaches, loss of energy, etcetera. Please consider filling out this section to the best of your ability.

Do you have Ethernet Cables?(Required)

Yes

Do you have a Wifi Router Guard?(Required)

Yes

Can the WiFi be turned off?(Required)

Yes

Do you have another EMF protection system not mentioned above?(Required)

Lawn/Pest Care: Why are we asking? Not only can sensitive individuals have a severe reaction but most people care if toxic chemicals were used around them, especially recently. Most people with children or with pets won’t want their loved ones playing in a yard with toxic chemicals. If anything was used, just list where and when so a person can avoid that area.

Have you used any pesticides, insecticides, herbicides and/or fungicides on your property in the last year?(Required)

Yes

Please list any chemicals, approximate date and area of application.(Required)

New Construction within the last year: Why are we asking? New building materials and paints can release Volatile Organic Compounds (VOCs). A sensitive person may react to this. If you have done new construction, please consider listing the construction (dry wall, new floors, painted, etc.).

Please list any new construction within the last year (e.g. dry wall, new floors, new cabinets, painted, etcetera).(Required)

Swimming Pool/Hot Tub: Why are we asking? There are some sensitive individuals that may react to certain chemicals in the water. Also, there are some individuals that may not have a sensitivity but have a preference for a certain water over another. Please consider filling out this section to the best of your ability.

Do you own a pool or hot tub that can be used by guests?(Required)

Yes

Please specify pool or hot tub and brand/model of system.(Required)

Type of Treatment System:(Required)

Chlorine

Salt

Ozone

Mineral

Other

Please explain further.(Required)

Brand/Model of System:(Required)

Mold Control: Why are we asking? There are some sensitive individuals that have allergies or sensitivities to mold. Some may be severe. Please consider filling out this section to the best of your ability to help an individual make an informed decision and a peace of mind.

Are you aware of any mold in the residence?(Required)

Yes

Please provide additional information if needed.

Do you use a dehumidifier?(Required)

Yes

Please provide additional information if needed.

Does each of your bathroom(s) have an exhaust fan and/or a window that can open?(Required)

Yes

Please provide additional information if needed.

Was a mold test ever done in your home?(Required)

Yes

When? Results? If not applicable, please put N/A.(Required)

Go Green/Eco Friendly Survey: Why are we asking? There are individuals that feel strongly in leaving a smaller footprint and protecting our environment and would like to support other likeminded individuals. Please consider filling out this section to the best of your ability to help those make an informed decision.

Do you recycle?(Required)

Yes

Do you use LED lights in any part of your home?(Required)

Yes

Do you use/own any energy efficient appliances?(Required)

Yes

Do you use water-saving appliances?(Required)

Yes

Do you compost food scraps and/or other organic materials?(Required)

Yes

Do you use and/or purchase reusable soap or shampoo containers?(Required)

Yes

Do you use solar energy to partially or fully power your home?(Required)

Yes

Do you utilize plant-based and/or biodegradable garbage bags?(Required)

Yes

Is any of the lighting in your home automated to reduce electricity usage?(Required)

Yes

Please tell us any other ways you believe your home has been made more eco-friendly.(Required)

Is there any other information your guests should know, such as mold tests, air quality monitors, EMF readers, dehumidifier/humidifier or any other pertinent information not captured previously?(Required)

Consent To Use Information(Required)

By checking this box and submitting this form, I confirm that I fully understand that this information will be used ONLY for the purposes of providing information to Sensitive Rental website visitors, and this information will never be sold to third parties with your express consent. I also agree to allow Sensitive Rentals to provide some or all of this information on my property listing to give website visitors as much transparency as I can before guests rent my property.

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