COMFORT NEEDS ANALYSIS


Please take a few moments to fill out this form so that we can know how to better help you, or if you like, you can Download the PDF form.

Getting to know your home

Please fill out the form below:

Your Name: *
Your Phone: *
Your E-mail: *
1. How many members are in your household?
2. Do you know the approximate age of your home?
3. How many in your household suffer from asthma, allergies, hay fever or sinus problems?
4. Are there any other related problems? Yes No
If yes, please describe:

5. Are you concerned about healthy indoor air? Yes No
6. Approximately how many more years do you plan on living in your home?
7. Are there any hot or cold spots in your home? Yes No
8. Are there any drafts or areas with inadequate air movement? Yes No
9. Are there any smokers or hobbies that create chemical fumes? Yes No
10. Do you have problems with dust or lingering odors? Yes No
11. Does your woodwork or furniture have a drying or cracking problem? Yes No
12. Are there rooms that need more or less heating and cooling than the rest of your home? Yes No

If Yes, Rooms Such As:
Hobby Room Formal Living & Dining Room
Guest Room Upstairs vs Downstairs
Basement Other:
13. Are you planning any room additions in the near future? Yes No
14. Do you do a lot of entertaining? Yes No
15. Are you concerned about the sound level of your heating and cooling system? Yes No
16. How much is your average Electric bill? Summer: $ Winter: $
17. How much is your average Gas bill? Summer: $ Winter: $
18. What temperature do you want to maintain? Summer: Winter:   °
19. What do you feel is going to happen to utility rates? Remain
Increase
Decrease
20. Have you made any energy conservation improvements to your home? Yes No
21. Are you concerned about the impact energy usage has on our environment? Yes No
22. Who has been performing the preventative maintenance on your system?
23. What do you like most about your existing system?
24. What do you dislike most about your system?
25. Have you previously looked into purchasing a heating and air conditioning system? Yes No
If yes, which companies?
26. What else should we know about your home?

 
Requests: My Unit Is Not Working
  Schedule Preventative Maintenence
  Free Estimate on a New Unit
  Learn More About Indoor Air Quality
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