Intake Survey - EMFs Name * First Name Last Name Email * Do you have a cordless phone (DECT) at home? Yes No How often do you use your mobile phone daily, where do you use it the most? List all smart home devices (air filters, speakers, thermostats etc.) How many laptops/tablets are in the home and where are they used and stored? What bluetooth headphones do you use? How often do you use the microwave and what typically for? What wearble devices do you use if any? Do you use electric blankets or heating pads? Thank you!