Residential Comfort Survey

Please fill out the information to the best of your ability. Our Heating and Cooling Specialist will contact you regarding any additional information required.

First Name *

Last Name *

Phone number *

Street Address
City
State/Region
Zip Code

Email *

Comfort Needs Analysis

How long have you lived in the home?

How many members live in your household?

Future plans for the home

How are you heating the home now?

How old is the current system?

Are there any hot/cold areas in the home? If so, where?

Does anyone in the home suffer from asthma, allergies, hay fever

YesNo

What does your average utility bill cost?

Have you done any research or had any other estimates?

When are you looking to start the project?

Additional notes or information that you would like to provide:

Mechanical Information

Property Details

Year Built

Sq. Feet

Utility Company

Crawlspace

YesNo

Height

Lights

YesNo

Crawlspace Access Type

Crawlspace Access Size

Basement

Type of Ceiling

Basement Access Type

Basement Access Size

Attic Space

YesNo

Attic Height

Attic Lights

YesNo

Attic Access Type

Attic Access Size

Existing Equipment

Existing Unit Type

Indoor Unit Location

Existing Duct

Duct Location

How many Supplies?

How many Returns?

Filter Location

Filter Size

Humidifier

Condensate Pump

YesNo

Where does Condensate Pump drain?

Refrigerant Line Set (runs from indoor unit or coil to outdoor u

Thermostat

Thermostat Brand

Number of Thermostats

Equipment / Brand / Model #

Air Handler Brand (indoor unit)

Air Handler Model # (indoor unit)*

Condenser Brand (outdoor unit)

Condenser Model # (outdoor unit)*

Furnace / Boiler Brand (indoor unit)

Furnace / Boiler Model # (indoor unit) *

Coil Brand (attached to furnace)

Coil Model # (attached to furnace) *

Electrical Details

Electrical Panel Location

Electrical Panel Size

Indoor Unit Breaker Size (found in electrical panel) *

Outdoor Unit Breaker Size (found in electrical panel) *

Additional Information Boilers / Gas

Style

Heat Source

Flue Location

Flue Type

Flue Length

Gas Water Heater

YesNo

Other Gas Appliances

Oil / Gas Tank Location

Tank Condition

Gas Type

Gas Pipe Size