Personal Comfort Survey

Air Doctors Heating and Cooling, LLC employs certified and background checked technicians Belleville MI

*First Name:

*Last Name:

*Address:

*City:

*State/Province:

*Postal Code:

*Phone Number:

*Email Address:

*Date:

1. What do you hope to accomplish with this project?:

2. What ideas do you have?:

*3. What is the household income? : (This information is necessary to determine your eligibility for incentives like state-funded rebates.)

4. How long have you lived here?:

5. How long do you plan to remain?:

6. Do you have any future projects planned?:

7. At what temperature are you most comfortable?:

8. Are you aware of any utility rebates and tax credits for specific equipment?:

9. Do you think you pay more than average utility bills per month?:

10. Does your equipment constantly run but does not seem to keep up or takes a long time to reach the desired temperature?:

11. Is your current equipment load or noisy?:

12. Do you have constantly uncomfortable areas, i.e., specific rooms or always warm and/or always cold areas? Are there any areas that are muggy or drafty?:

12. Does your home have wall and attic insulation?:

13. Do you have indoor air quality concerns like mold, mildew, asbestos, etc::

14. Are you interested in reducing or eliminating dust/and or odors in the home?:

15. How does your existing system perform on the hottest and coldest days of the year?:

16. Would you like to understand more about indoor air quality issues such as mold, mildew, bacteria, etc.?:

17. Do you have carbon monoxide detectors in your home?:

18. Do you know they need to be replaced every 3 – 5 years?:

19. Do you run a business out of the house or do a lot of entertaining?:

20. How many people are typically in the home at one time?:

21. Do you do a lot of cooking, or do any catering?:

22. Is there an older person or someone in the home that has special needs? (i.e. a warmer room):

23. Is there anyone in the home who suffers from respiratory problems such as COP, asthma, etc.?:

24. Are there any special humification requirements? (Antiques, artwork, etc.):

Is there anything that we should know about that we did not cover with the survey?:

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