CommentsThis field is for validation purposes and should be left unchanged. Global studies reveal that chronic health conditions are two-thirds more likely to have been caused by environmental factors. People spend roughly 90% of their time in indoor environments. In the United States, the EPA has found that indoor air, on average, is five times more polluted than outdoor air. Wellness Within Your Walls® Healthy Living System Approved™ Seal Reporting Form highlights the Healthy Living System™ health and wellness elements achieved through healthier building and design practices. HLS Approved™ Seal and HLS Approved™ Seal + (Plus) residential communities, buildings or homes must comply with a certain number of health and wellness elements from each of the ten steps of the HLS. HLS Approved™ Seal: Compliance with the HLS Approved™ Seal requires that one health and wellness element is achieved in each HLS step. HLS Approved™ Seal + (Plus): Compliance with the HLS Approved™ Seal + (Plus) seal requires three or more health and wellness elements for each HLS step. Compliance achieved through this HLS Approved™ Seal Reporting Form gives the Reporting Company access to the HLS Approved™ Seal Consumer Wellness Guide, available for occupant distribution. Check All HLS Approved™ Seal health and wellness elements incorporated into your building(s) that apply. For questions, please refer to the HLS Approved™ Seal TutorialDate(Required) MM slash DD slash YYYY Contact Name(Required) First Last Email(Required) Phone(Required)Address(Required) City State / Province / Region Significant health concerns should be identified and remediated promptly.Please indicate if your home currently contains any of the following health hazards: Active mold growth Off-gassed radon beyond the maximum allowance of 4.0 pCi/L Lead paint Water heater(s) with asbestos insulation material Lead pipe contamination Active water leak(s) My home was professionally commissioned prior to our move in. Commissioning a home includes a quality assurance process where a third-party commissioning agent systematically verifies that all home systems, such as HVAC, electrical and plumbing, are designed, installed, tested and operating in accordance with manufacturer’s instructions and resident’s requirements. My home was professionally commissioned prior to our move in. Commissioning a home includes a quality assurance process where a third-party commissioning agent systematically verifies that all home systems, such as HVAC, electrical and plumbing, are designed, installed, tested and operating in accordance with manufacturer’s instructions and resident’s requirements. Type of Home Registered (selected all that apply):(Required) Residential Single-family Residential Townhouse Residential Duplex Residential Garden Style Apartment Residential High-rise Residential Mid-rise Residential Stacked Design Studio/Center Other Is this an existing building(s) or new build structure? Existing New Build Square Footage(Required)Number of AcresName of ArchitectName of Interior DesignerWhat is the estimated property (land and/or home) value? The Wellness Within Your Walls® Healthy Living System™ (HLS) is a 10-step holistic approach to a healthier built environment. The HLS consists of the following steps: Global studies reveal that chronic health conditions are two-thirds more likely to have been caused by environmental factors. People spend roughly 90% of their time in indoor environments. In the United States, the EPA has found that indoor air, on average, is five times more polluted than outdoor air. The H3: Healthy Happy Home assessment analyzes levels of health and wellness in your home within each of the HLS 10 steps listed above. Begin your home assessment now! Select all that apply Identified HVAC system’s highest rated filter (example: MERV 11, MERV 13) Change filters every three months, especially with older systems Installed an ERV (Energy Recovery Ventilator - humidity control, improved IAQ and energy-efficiency) OR HRV (Heat Recovery Ventilator - to improve IAQ and energy-efficiency) based on regional needs Ductwork professionally cleaned within the last three years Protected and covered HVAC registers, grilles, return vents and returns during any home maintenance or renovation Ductwork professionally cleaned immediately after construction or for regular maintenance every three years Whole-home air purification system in use Personal, portable air purification system in use All combustion devices (ranges, stove tops, fireplaces, water heaters, etc.) direct vent to the exterior Carbon monoxide (CO) monitors in use near combustion devices, sleeping areas and near doors to garages Home features fire-rated, glass barrier with any wood-burning or gas fireplaces Run ceiling or exhaust fans Run whole-home or portable air purifiers Open windows and doors Unpackage items outside the home, preferably not in an attached garage, to expose to fresh air Run electrical appliances and equipment in an unused, well-ventilated space before final installation and first use As routine, apply off-gassing or bake-off strategies (commissioning), such as the following, to all appliances, textiles, fixtures and finishes installed, used or brought into the home: Run ceiling or exhaust fans Run whole-home or portable air purifiers Open windows and doors Unpackage items outside the home, preferably not in an attached garage, to expose to fresh air Run electrical appliances and equipment in an unused, well-ventilated space before final installation and first use Carpet within the home is made with low- or no-VOCs and without chemical coatings or finishes, such as a stain or water-resistant coating Furnishings, textiles and upholstery within the home do not have chemical coatings, finishes or fillings, such as synthetic latex and stain or water-resistant coatings No synthetic fragrances (air fresheners, aromatherapy, candles, soaps and cleaning supplies) are present Home has operable windows Home features sliding doors for air flow Select all that apply Analyzed water for contaminants (water testing kit or local testing service) Municipality does not utilize chlorine in local water source provided to the home Conducted analysis through a water research organization, municipality or the other agencies, such as Environmental Working Group Tap Water Database (www.ewg.org/tapwater/ ), for water contaminants Selected and installed water filtration system that removes chemicals-of-concern that appeared in the water analysis Whole-home filtration system At-source filtration system In-refrigerator filtration system Personal filtration device Utilize one of the following water purification devices: Whole-home filtration system At-source filtration system In-refrigerator filtration system Personal filtration device Filtered water bottle filling station(s) installed within the home Household uses a water delivery service to supply filtered water in reusable/recyclable, multi-gallon water dispensers Only copper, PEX-A and/or HDPE (high density polyethylene) plumbing pipes are present in the home No tile grout containing silver ion or other heavy metals, which negatively impacts surrounding water quality for humans, wildlife and livestock, has been used Bathroom surfaces are designed with no grout Select all that apply Determined whether the sun’s illumination is adequate or excessive, as well as considered the sun’s rotation, when determining the purpose of a room and its décor, finishes and furnishings Incorporated passive design principles, including awnings, strategic placement of shade trees, exterior home color and integrated window treatments Home features skylights and/or solar tubes to direct natural light into windowless or centrally located spaces Home features photochromatic or “smart glass” windows Home features double-pane windows Considered ambient energy strategies that harness naturally available energy from the environment (sunlight, heat, motion and vibrations) and convert it into usable power for devices, like wireless sensors and wearable electronics, or “natural comfort” practices such as passive solar design, like day-lighting Home features a smart-home technology lighting system compatible with circadian rhythms Living rooms - 2400K to 3000K Kitchens - 4000K Bedrooms - 2700K to 3000K Bathrooms - 3000K to 4000K Garages - 5000K Select light bulbs based on best temperature practices, measured in Kelvins on a scale from 1,000 to 10,000, for specific tasks: Living rooms - 2400K to 3000K Kitchens - 4000K Bedrooms - 2700K to 3000K Bathrooms - 3000K to 4000K Garages - 5000K Installed window treatments to: Reduce the sun’s intensity (example: blackout treatments) Maximize natural sunlight (example: fully-operational treatments) Filter natural light (example: sheer panels) Selected paint colors to enhance natural light through absorption and reflection Select all that apply All cabinetry within the home complies with CARB 2 regulations (certification passed by California Air Resources Board to reduce formaldehyde emissions) Off-gassed cabinetry, off site, prior to installation Home features storage options to safely store hazardous substances: Locking, ventilated cabinet(s) for cleaners and other necessary chemicals Outdoor, locking, ventilated cabinet(s)/shed(s) for cleaners, paints, stains, adhesives and other chemicals Locking cabinets for alcohol and prescription and over-the-counter medication Home features alternative, chemical-reducing appliances for laundry care, including steam closets for steam cleaning and refreshing clothes or an ion- and oxygen-based laundry system that uses less detergent and water Provide shoe storage at main household entry point(s) Provide floor mats at all entry points Home utilizes radon mitigation systems, such as a physical barrier, seal and caulk and/or fans Home features flooring with low- or no-VOCs Use low- or no-VOC paints, stains and adhesives Use only water-based paint Use natural, low- or no-VOC cleaning products Dispose of necessary/unavoidable chemicals responsibly (follow municipal guidelines) Select all that apply Home floor plan includes flex spaces to accommodate fitness Home features easy storage for recreational, exercise and other fitness equipment To keep fit, the household has access to (check all that apply): Fitness/recreation/wellness centers Walking, biking and other trails Bikes, kayaks/canoes and other recreational equipment Fitness tracking devices Yoga space/studio (indoors or outdoors) Swimming pool Tennis court Pickleball court Basketball court Volleyball court Outdoor fitness stations Dog-friendly amenities/park Occupants have a habit of walking at least 20 minutes a day Occupants have a habit of ending their showers with 30 seconds of ice-cold water or utilizing cold plunges to boost metabolism, increase dopamine, reduce inflammation and enhance circulation Occupants utilize hot showers, saunas and/or heated pools to promote muscles recovery and flexibility Select all that applyCommunity and social interaction Music, art and cultural appreciation and participation Group interest activities Household has access to gathering space(s) that encourages: Community and social interaction Music, art and cultural appreciation and participation Group interest activities Home features a music sound system, promoting psychological and physiological wellbeing Home includes security measures (to reduce anxiety, provide peace-of-mind and improve sleep), such as: Self- or third-party monitored security system(s) On-site security personnel Cameras, gates, access codes and key fobs Wi-Fi kill switch to reduce Wi-Fi data breaches Automated and/or motion-detection lighting Included live plants in interior spaces Maximized window placement for natural light Selected natural and eco-friendly materials and finishes Used patterns and textures that reflect natural processes and features Household embraces biophilic design principles to promote connectivity with nature: Included live plants in interior spaces Maximized window placement for natural light Selected natural and eco-friendly materials and finishes Used patterns and textures that reflect natural processes and features Under staircase storage Climate controlled basement storage Exterior gardening/tool storage Provide an abundance of storage: Under staircase storage Climate controlled basement storage Exterior gardening/tool storage Household follows an established disaster plan in case of hurricanes, fires, flooding, tornados, intruders, etc. Home features soothing colors and finishes that invite harmony, diffuse anxiety and enhance natural light Select all that apply Home included space(s) for unplugging, i.e. reading nooks, outdoor spaces, labyrinths and art gardens Home includes indoor or outdoor space for yoga Home features interior or exterior space(s) for meditation Home features an organized, dedicated space for technology and technological equipment (i.e. organized wires, rooms for computer access away from other activities, EMF control, etc.), including an EMF kill switch Home features methods for accessing soothing music through low-stress, personalized playlists, ambient music, wind chimes, sound bowls, etc. Home features bathrooms with (check all that apply) Double shower heads Rainfall shower head(s) Body spray(s) Soaking tub Jet tub Cold plunge Hydrothermal bathing Infrared thermal cabin/sauna Halotherapy/salt room Vitality pool Foot bath Ice room/ice fountain Snow room/snow shower Steamer/steam shower Select all that apply Home achieves net zero emissions Home achieves passive design principles Reduce the use of new material through recycling and repurposing existing materials Home utilized building materials made from recycled materials Utilize alternative energy source(s) (check all that apply): Solar Wind Geothermal Hydroelectrical Household harvests rainwater, following local guidelines Home built/designed with resiliency in mind for extreme weather and natural disasters (i.e. hurricanes, tornadoes, wildfires, floods, ice/snow, extreme temperatures) Home features energy-efficient appliances Home features water-conserving fixtures and appliances (low-flow toilets, sensor activated faucets, high-efficiency washers, etc.) Home features alternative laundry drying systems: Heated drying racks Non-heated drying racks Outdoor drying lines Household donates extra or unused materials to your community (i.e. Habitat for Humanity, building science and design schools or charities) Home includes furnishings made from recycled/reclaimed materials Household instituted a waste minimization program to reduce landfill-bound waste (i.e. municipal waste guideline programs, art collectives, building science and design schools) Household participates in municipal recycling program(s) Composts vegetables and other organic matter for garden soil Composts meat separately Household has a personal composting device or participates in a community composting program Composts vegetables and other organic matter for garden soil Composts meat separately Household does not purchase any single-use plastic products (straw, snack/sandwich/freezer bags, food containers or water bottles) Household minimizes waste and reduces cost through bulk purchasing or from sustainability-focused delivery services using personal and/or reusable containers Select all that applyExhaust fan selected for its CFMs (cubic feet per minute) in comparison to the stove top featured in the kitchen Kitchen features a direct-to-exterior exhaust fan, which household runs at all times when cooking Exhaust fan selected for its CFMs (cubic feet per minute) in comparison to the stove top featured in the kitchen Home features innovative appliances to properly refrigerate, store, maintain and cook food items (check all that apply): Sous vide Induction stove top Oven with air frying capabilities Refrigerator with a refresher drawer Zoned refrigeration Smart technology enabled Heat storage cooker with radiant heat Home features space for indoor or outdoor gardening (check all that apply): Soil-based Aeroponics Hydroponics Terrariums Aquaponics Living walls Home landscaped with pollinator-friendly, native plants Home landscaped with edible vegetation Healthy restaurant options Produce co-op Resource co-op Farmers markets and/or local farmers Home is located near: Healthy restaurant options Produce co-op Resource co-op Farmers markets and/or local farmers Select all that apply Household does not permit smoking or vaping within the home Running range hood vent while cooking Using exhaust fans in bathrooms, closets and laundry rooms Household has established clean air strategies while using specific spaces, such as: Running range hood vent while cooking Using exhaust fans in bathrooms, closets and laundry rooms Establish a regular cleaning schedule with nontoxic cleaners, or use a professional service that utilizes nontoxic cleaning supplies Household allows only non-synthetic fragrances, air fresheners, aromatherapy and candles Household has established a regular maintenance schedule for systems and appliances Home has incorporated shoe storage at the main household entry point Household follows off-gassing protocols during construction and renovation projects and installation or first use of appliances (example: off-gassing cabinetry, bake-off toaster and ovens) Household follows laundry guidelines for new textiles (clothing, bedding, throw blankets, etc.) prior to using Household utilizes portable air purifiers, as needed, to mitigate toxins during construction, renovation and installation of furniture/fixtures/finishes that may contain harmful chemicals (example: fire retardants, formaldehyde, etc.) Household has established a maintenance schedule for gutters to protect the home from costly structural water damage and mold Household practices crawl-space encapsulation (installing durable vapor barrier, using a dehumidifier, eliminating all openings and gaps) to reduce mold and mildew, dust, allergens, toxic gases, insects and rodents, as well as not storing harmful pesticides and chemicals in crawl spaces Sustainable, protective shoe covers and/or mats made available during construction/renovation to decrease chemical and particulate exposure Personal Protective Equipment (PPE), such as hard hats, masks, glasses and protective shoe covers, are made available during construction/renovation to occupants/trades people Household maintains a lifestyle journal that demonstrates the WWYW Healthy Living System 10-steps Household pledges to consult the H3 Healthy Happy Home Guide ADDITIONAL INFORMATIONAdd any other health and wellness information available. ASSESSMENT PLEDGE. By your electronic signature below, you verify that the information given in this assessment is accurate as to your home. You also understand and agree that the data and information provided by you in this assessment to Wellness Within Your Walls® (WWYW) may be used by WWYW in connection with the H3: Healthy Happy Home™ program and related businesses and may be shared, anonymously, with other organizations. By completing this assessment, you do not acquire any intellectual property rights, including, without limitation, confidential information, trademarks or copyrights, in connection with WWYW, H3: Healthy Happy Home™, this assessment or any other WWYW property. Full Name(Required)Signature(Required) Almost done... Please review your answers and click Submit below.Loading summary... Δ
