{"0":{"name":"Name","value":"Randy Garner","id":0,"type":"name","first":"Randy","middle":"","last":"Garner"},"1":{"name":"Email","value":"randy.t.garner@gmail.com","id":1,"type":"email"},"10":{"name":"Phone","value":"+19706232771","id":10,"type":"phone"},"3":{"name":"Company","value":"NA","id":3,"type":"text"},"4":{"name":"City","value":"Fountain","id":4,"type":"text"},"5":{"name":"State","value":"CO","id":5,"type":"text"},"2":{"name":"Please tell us a little about your situation.","value":"Newer house built in 1999. I have major sinus\/ allergy issues and a diagnosed mold allergy. Myself and others visiting my house are having sinus\/ breathing issues and wanting to get a mold\/ air quality test done. Only real water event I've had was a flood from rain into the unfinished basement. Some water mediation was done including multiple dehumidifiers. Otherwise no issues since I've owned the house.","id":2,"type":"textarea"},"11":{"name":"Agree to contact","value":"By giving IET my information I understand IET will contact me by phone, SMS or email.","value_raw":"By giving IET my information I understand IET will contact me by phone, SMS or email.","id":11,"type":"checkbox"},"12":{"name":"Agree to promos","value":"","value_raw":"","id":12,"type":"checkbox"}}