Diagnostic Consult Appointment Confirmation
Confirm your appointment. Please share your concerns. What you are experiencing living in the building? Your answers allow us to can bring the proper diagnostic tools and prepare for your diagnostic audit. Thank you.
Name
*
First Name
Last Name
Email
*
example@example.com
How long have you owned the building?
*
10 + Years
5 - 10 Years
3 - 5 Years
1 - 3 Years
< 1 Year
How long do you plan to own the building?
*
10 + Years
5 - 10 Years
3 - 5 Years
1 - 3 Years
< 1 Year
How many adults and children live in the building?
*
How would you rate the building as fas as comfort?
*
1
2
3
4
5
6
7
8
9
10 Best
Why would you rate it 6 or under?
What would make it a 10?
How would you rate it as far as energy efficiency?
*
1
2
3
4
5
6
7
8
9
10 Best
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Summer Conditions
Are your cooling bills higher than you want them to be in summer?
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No.
Yes.
How high are the summer bills compared to the mild months?
In the summer, are some rooms too hot and uncomfortable?
*
No.
Yes.
Which rooms? Tell us about the situation.
How humid and clammy is it in the summer?
*
Do you use fans or portable air conditioners to be comfortable?
*
No.
Yes.
How many fans? Frequency of use?
Do you have rooms over the garage?
*
No.
Yes.
How comfortable are the rooms?
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Winter Conditions
Are your winter fuel bills higher than you want them to be?
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No.
Yes.
How high are the winter bills compared to the mild months?
Do you have any rooms with cold floors in the winter?
*
Yes
No
In the winter, are some rooms cold and drafty?
*
Yes
No
If yes, where?
Do you use portable heaters for uncomfortable rooms in winter?
*
Yes
No
If yes, how many heaters? Frequency of use?
Do you have a crawl space under the house?
*
Yes
No
How comfortable are the rooms over it? How moist is it?
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Health & Durability Conditions
Have you noticed any odd or musty odors in the building?
*
No
Yes
Please tell us more about the problem...
Have you noticed any mold or rot?
*
No
Yes
Please tell us more about the problem...
Does anyone have asthma or allergies?
*
No
Yes
Please tell us more about the problem...
What is the history on PESTS, rats, squirrels, in the space?
*
Do you think that the building is unusually dusty?
*
Yes
No
Other
Have you noticed dust around the HVAC supply registers/vents?
*
Yes
No
Other
Do you use a dehumidifier in the summer or winter?
*
Yes
No
Other
Have you done anything to fix these issues? How did that work out?
*
Do you have any other concerns that you want us to know about?
*
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Last Step - Accomplish List
Your accomplish list allows us to be clear what you are asking us to do. Plus, you will be clear what you are asking us to do.
IF you were going to have a project done, what would you like for to Accomplish? Please select ALL that apply.
*
A. Make building Cooler in Summer
B. Make building Warmer in Winter
C. Make Upstairs more Comfortable year round
D. Make a specific Room Cooler or Warmer
E. Eliminate Mold/Reduce Odors
F. Reduce Costs to Heat and Cool the building
Other
Which of the Accomplish List items above is most important? Second? Third? Please list the item in order of priority below.
*
Why solve these problems now?
*
What is your budget range for fixing the problems?
$2,500 - $5,000
$5,000 - $7,500
$7,500 - $10,000 (most popular)
$10,000 - $15,000 (fix comfort issues)
$15,000 - $20,000 (great results)
$20,000 + (Whatever It Takes)
DISCLAIMER: All of our solutions have a specific set price. Meaning, if you say your budget is higher, we cannot charge you more. What we do with your budget info is this: if your budget is high, then we can design the best solution for you. If your budget is low, then we will recommend the minimal, bandaid that won't get you great results. Yes, to properly fix a house can be very expensive. We can tell you how to do it right, and we can also tell you what the minimal treatments. Your budget, your decision.
Which payment options would you like to have available to you?
Check/Cash
Credit Card
12 Months Same As Cash
6 Years, Low Monthly Payments
Your Mailing Address for us to send the Appointment Packet based on this survey.
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Send Answers to Your Diagnostic Consultant
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