FREE In-Home Consultation
upon completing the Home Comfort
Health and Energy Savings Survey

Address, City, State & Zip Code:

Home Phone:

Work Phone:

E-Mail:

Includes temperature, air movement, air quality, noise level and automatic control convenience

How long have you lived here?  and plan to live here? 

What would you like to see improved in your current system?

What do you like about your current system?

Where in the home does the family spend most of their time?

Where in the home does the family spend the least of their time?

Do you currently have any of the following problems or concerns?

Problem or Concern	Yes	No	Brief Comment (if applicable)	Importance
Would you like to reduce indoor / outdoor system noise?				Somewhat Important Very Important Not Important
Uncomfortable temperature swings or drafts?				Somewhat Important Very Important Not Important
Home too dry in the winter?				Somewhat Important Very Important Not Important
Excessive humidity in the winter or summer?				Somewhat Important Very Important Not Important
Do you frequently make adjustments to the thermostat?				Somewhat Important Very Important Not Important
Any concerns about indoor air quality?				Somewhat Important Very Important Not Important
Anyone sufferer from allergies to airborne dust, mold, pollen, viruses or dander?				Somewhat Important Very Important Not Important
Rooms that are too hot or too cold?				Somewhat Important Very Important Not Important
Stale air? Musty when you return from days away?				Somewhat Important Very Important Not Important

How much do you spend to heat and cool your home in a year? Heating $ Cooling $

Have you done any energy savings projects in your home? Yes No
Please describe the project(s):

Have you made any addition or changes to your home? Yes No Planning any? Yes No

How important is saving money on monthly bills? Somewhat Important
Very Important Not Important

How important is a Return on Investment with a new system? Somewhat Important
Very Important Not Important

Is the "environmental friendliness" of the system an important concern to you? Somewhat Important
Very Important Not Important

What prompted you to contact our company?
Current Customer
Reputation
Referral
Ad in:

Do you know anyone we have done work for? Yes No If yes, Please list:

Do you have, or have ever had, a Maintenance Agreement on your heating and cooling System?
Yes No

How important is owning a comfort system that will last a long time?
Somewhat Important
Very Important Not Important

How important is not having to worry about repair bills after the standard warranty is over?
Somewhat Important
Very Important Not Important

How important is having a reputable contractor doing your work in your home?
Somewhat Important
Very Important Not Important

How important is getting maintenance reminders?
Somewhat Important
Very Important Not Important

Thank you for completing our survey



We will contact you soon.