Who can we help?

Pick the one that fits best. You can change it later.

Me — it's my home My mom or dad My grandparent Another family member A friend or neighbor Someone I care for professionally

First, a little about you

So we know who to talk to about this visit.

Your full name

Your phone number

Your email (we send visit reports and receipts here)

Best way to reach you

Text Call Email

This is the home we'll visit.

First name

Last name

Phone number (optional)

Email (optional)

Street address

Apartment or unit (optional)

City

State

ZIP code

What kind of visit?

$99 Home CheckupA complete assessment of your home & well-being

Help with something specificA repair, a setup, a chore — $75/hour

Not sure yetTell us what's going on and we'll suggest something

Tell us what's going on

How soon do you need us?

Whenever convenient Within a few days ASAP

Anything we should know before we arrive? (optional)

If someone is in danger or there is an emergency, please call 911 first.

This is who we'll send the bill to.

After you send this, we'll ask for a card to keep on file. Nothing is charged until the visit is done, and a receipt is emailed.

I will The homeowner Someone else

Their full name

Their phone number

Their email (for the bill and receipt)

Call me first Call the homeowner directly

Both of us Just the homeowner

How did you hear about us? (optional)

Take a look. Tap “Change” to fix anything.

I confirm that the homeowner is aware of and consents to this home checkup service request.

We'll call or text within one business day to confirm a time.
Home Checkup $99 · Service visits $75/hour (1-hour minimum)