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Mansion at Dusk

Let’s see what your home qualifies for.
This quick assessment helps us identify what energy upgrade programs, rebates, or home wellness improvements may be available for your property. Whether you're curious about solar or just want to explore hidden savings, this form takes less than 3 minutes to complete. If you're eligible, a home energy consultant will reach out to confirm your options and next steps. 

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At Vitality Wellness, we believe a healthy home is the foundation of a healthy body. This form is the first step toward lightening your home’s load—physically, energetically, and financially.

Your Wellness Begins at Home

Take just 2-3 minutes to help us understand how we can support a lighter, cleaner, more aligned environment for your life.

  1. Contact Information

  1. Home Basics

What type of home do you live in?
Do you currently own or rent your home?
Approx. what year was your home built?
Household members:

  1. Energy Systems & Utilities

(Check all that apply - select fuel types where relevant)

Heating System(s):
Cooling:
Water Heating:
Electrical service:
Backup Power:
Other Energy Features:

  1. Air Quality & Comfort

Do you or anyone in your household regularly experience:
Have you tested for:

Did you know your environment can be one of the biggest hidden stressors on your health?

As part of our whole-home wellness mission, we're offering a FREE Zyto scan ($99 value) for anyone who completes a qualifying solar or HVAC consultation.
Yes, I'd love to schedule a free Zyto scan after completing my consultation.
No thanks, just here for the home upgrades

  1. Energy & Sustainability Goals

Do you currently have solar?
If YES, have you explored adding the following:

If NO or CONSIDERING Solar:

What's your biggest reason for not installing yet?
How would you most likely prefer to pay for solar?
No upfront cost (PPA / lease – bill swap)
Low-interest loan
Outright purchase (cash)
Not sure / want to explore options
Would you like a side-by-side comparison of all options to see which saves you the most?
Yes
No

  1. Lifestyle & Wellness Goals

Check all that apply:

  1. File Uploads

  1. Next Steps

Ready to explore upgrades
ASAP
1-3 months
Just gathering info
Best way to contact:
Best time:

  1. Notes & Referrals

  1. Terms & Consent

Thanks for completing your Home Wellness Assessment. Your space has more power than you think and we’re here to help you use it.

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