This page is looking great so far, what did you build it with? I really like the nav at the top, I wouldn't change that at all.
On the hero image, where you have the form and the description of the service, I'd put that whole section into one box with a low opacity. Much like the way you've placed the testimonial on that blue background, maybe try expanding that box so that the whole section is in that blue box. It will help organize the content I think.
I'd also make "live smoke free" much larger. That's a great call to action.
Also, as a rule of thumb I suggest avoiding putting logos onto dark backgrounds. So in the footer, I would change that dark background to white if you're going to include the Brian Healy logo.
Give that a go and let us know if your conversions change.