The primary objective of this study was to investigate the temporal variability between basement winter short-term (7 to 10 days) and basement annual radon measurements. Other objectives were to test the short-term measurement’s diagnostic performance at two reference levels and to evaluate its ability to predict annual average basement radon concentrations. Electret ion chamber (short-term) and alpha track (annual) radon measurements were obtained by trained personnel in Iowa residences. Overall, the geometric mean of the short-term radon concentrations (199 Bq m−3) was slightly greater than the geometric mean of the annual radon concentrations (181 Bq m−3). Short-term tests incorrectly predicted that the basement annual radon concentrations would be below 148 Bq m−3 12% of the time and 2% of the time at 74 Bq m−3. The short-term and annual radon concentrations were strongly correlated (r=0.87, p<0.0001). The foundation wall material of the basement was the only significant factor to have an impact on the absolute difference between the short-term and annual measurements. The findings from this study provide evidence of a substantially lower likelihood of obtaining a false negative result from a single short-term test in a region with high indoor radon potential when the reference level is lowered to 74 Bq m−3.