Tell us about your comfort concerns
On a scale of 1 to 5, with 5 being the highest, how concerned are you about.......
Even temperature throughout your home

Reliability of your heating/cooling equipment

A 10-year worry-free guarantee

Removing up to 90% of the dust and pollen in your home

Preferential service if there is ever a problem

Getting rid of the moisture in the summer

Eliminating dryness in the winter

Saving money on your utility bills

Quiet operation of indoor and outdoor equipment

Reputation of the contractor that installs the equipment
Tell us about your home
1.  What type of home do you have?
Single Family

Townhouse/Condominium

Apartment/Duplex

Mobile/Manufactured Home

Other
2.  What year was your home built?
3.  Which type of fuel do you use to heat your home?
Electric

Natural Gas

Propane

Fuel Oil

Wood
4.  Select the statement that best completes this sentence:  "Someone is home..."
All of the time

Most of the time

Some of the time
5.  What is the heated/cooled square footage of your home?
Less than 1,000 sq. ft.

1,000-1,499 sq. ft.

1,500-1,999 sq. ft.

2,000-2,499 sq. ft.

2,500-2,999 sq. ft.
3,000-3,499 sq. ft.

3,500-3,999 sq. ft.

4,000-4,499 sq. ft

4,500-4,999 sq. ft.

5,000 sq. ft or more
6.  How would you describe your homes foundation?
Slab on grade

Enclosed crawl space

Full basement
7.  On average, what do you set your thermostat at?
Winter
Summer
8.  What is the level of insulation in your attic?
Poor (0"-3")

Good (6")

Excellent (12")

Unknown
9.  Are your floors insulated?
Yes
No
10.  Are your walls insulated?
Yes
No
11.  On a windy day, which best describes the amount of air leakage around your windows?
Very drafty

Moderate air movement

No draft
12.  What is the condition of your exterior doors weather stripping?
Poor

Average

Good
13.  Which one of the following best describes the type of windows in you home?
Single pane - no storm windows

Single pane - with storm windows

Double pane - no storm windows

Double pane - with storm windows
14.  Which of the following best describes the type of exterior doors in your home?
Hollow wooden

Solid wooden

Insulated metal
Do you also have storm doors?
Yes
No
15.  How old is your current heating and/or cooling system?
Heating
years
Cooling
years
*Name:
Address:
City, State, Zip Code:
*Phone Number:
Email:
Best time to be contacted:
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Serving Fond du Lac,
Calumet and
Sheboygan counties
for over 38 years
Call for all your
HVAC needs
920-999-4631