Survey

Name

First Last

Phone

Email

Address

Street Address City State ZIP Code

HOW LONG HAVE YOU LIVED IN YOUR HOME?

HOW OLD IS YOUR HOME?

HOW OLD IS YOUR HEATING & AIR SYSTEM?

IS YOUR SYSTEM LOCATED INSIDE OR OUTSIDE?

WHY ARE YOU CONSIDERING REPLACING YOUR SYSTEM?

WHEN WOULD YOU LIKE TO HAVE YOUR NEW SYSTEM INSTALLED?

WHAT IS YOUR AVERAGE MONTHLY UTILITY BILL?

DO YOU HAVE A GAS OR ELECTRIC SYSTEM?

HAVE YOU HAD MAINTENANCE PERFORMED ON YOUR SYSTEM IN THE LAST 12 MONTHS?

HAVE YOU HAD REPAIRS MADE TO YOUR SYSTEM IN THE LAST 24 MONTHS?

IF YES, PLEASE DESCRIBE AS BEST YOU CAN.

DOES ANYONE IN THE HOME SUFFER FROM DUST ALLERGIES?

ARE THERE ANY ROOMS THAT CANNOT KEEP A CONSTANT TEMPERATURE?

DOES THE NOISE FROM YOUR OUTDOOR UNIT BOTHER YOU?

DOES THE NOISE FROM YOUR INDOOR UNIT BOTHER YOU?

DO YOU HAVE A BUDGET IN MIND FOR YOUR SYSTEM REPLACEMENT?

WOULD YOU BE INTERESTED IN FINANCING SPECIALS WE HAVE?

ADDITIONAL COMMENTS