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Sensio Air Application form
You need to fill this form in English in order to use the device correctly
* Required
Full Name
*
Your answer
What do you need the device for?
*
Your answer
City
*
Your answer
Postcode
*
Your answer
Location type
*
Hospital or Medical facility
Educational facility
Residential
Office
Industrial
Retail
Restaurant
Hotel
Vehicle
Other:
What pollutant, allergen or pathogen are you concerned about?
*
Your answer
Is this an indoor or outdoor location?
*
Indoor
Outdoor
Company name
*
Your answer
Website
*
Your answer
Do you currently use the Sensio Air mobile app?
*
Your answer
Is this a medical application?
*
Yes
No
How can we help you?
*
Your answer
How many devices do you need
Your answer
How long do you need the devices for?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
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