TELL US ABOUT YOUR SELF

Name:

E-mail Address (REQUIRED):

Home Address: 

City:  State: Zip:

Phone;  

Comfort Survey

At what temperature do you set your thermostat during the Winter?  Summer 

How long have you lived at your present home? 

Will you be moving from this home within the next 5 years?  YES  No

Have you made, or are you planning to make any room additions?  YES  No

If yes, when? 

What is the coldest room in the winter? 

What is the warmest room in the summer? 

Does anyone in your home suffer from hay fever or allergies?   YES  No

If yes, what are you doing to remove as much airborne dust, pollen and allergies as possible?

Do you have problems with dry skin and/or dry nasal passages in the winter?  YES  No

Do you have high gas bills?  YES  No 

Do you have high electric bills?  YES  No

Are you interested in lowering your heating and cooling bills?  YES  No

Is your home insulated?  YES  No

If yes, how much in the attic?  How much in the side walls 

Do you entertain a lot?  YES  No

How did you hear about our company?  Phone Book  Newspaper  Radio  TV  Friend

If you chose friend, who was that friend? 

What was your most recent home repair? 

Is bringing fresh air into your home important to you?  YES  No

Are you interested in 6 months same as cash financing?  YES  No

Are you interested in extended warranties?  YES  No

What other improvements would you expect from a new furnace/air conditioner
that has not been covered in this survey? 

Thank you for taking the time to fill out our survey. Click ONCE on submit (below) 
and we will get back to you with more comfort information.