Sage Living EMF Intake Forms

Client info
Electric and Magnetic Field Overview
Exterior readings
Interior readings
Interior AC Fields
Breaker assessment
Tips
Summary

Exterior AC Magnetic / RF Fields:

NW corner AC Magnetic
NW corner RF
NW corner Sources based on meter audio:
NW corner Notes:

NE corner AC Magnetic
NE corner RF
NE corner Sources based on meter audio:
NE corner Notes:

SW corner AC Magnetic
SW corner RF
SW corner Sources based on meter audio:
SW corner Notes:

SE corner AC Magnetic
SE corner RF
SE corner Sources based on meter audio:
SE corner Notes:

Measurements taken outside residence with all
power / circuits on to determine field strength associated
with utilities and to establish ambient magnetic field:

Next steps

Client info
Electric and Magnetic Field Overview
Exterior readings
Interior readings
Interior AC Fields
Breaker assessment
Tips
Summary