Tell us about your Project
Installer Name: (If Applicable)
Homeowner/Site Name:
Installer Address: (If Applicable)
Homeowner/Site Address:
Installer Postcode: (If Applicable)
Homeowner/Site Postcode:
Installer Phone: (If Applicable)
Homeowner/Site Phone:
Installer E-mail: (If Applicable)
example@example.com
Homeowner/Site E-mail
example@example.com
Property Type
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Detached House
Semi-Detached
Terrace
Bungalow
Flat
Business
Other
Approximate Age of Property
Is this your Primary Residence?
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Yes
No
Existing Heating Fuel Type
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Oil
Mains Gas
LPG Gas
Direct Electric
Other
Number of Bedrooms
Number of Bathrooms
Approx monthly/yearly Heating Costs
Age of Current Boiler
Approx monthly/yearly Electricity Costs
Current unit price for Electricity
Hot water Cylinder
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Open Vented
Mains Pressure
Not sure
No Cylinder
Other
Heat Emitter Type
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Radiators
Underfloor Heating
Radiators and Underfloor
Electric Storage
Other
Is the Loft Insulated?
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Yes 250mm+
Yes less than 250mm
No
Not sure
Are the walls Insulated?
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Yes
No
Not sureWall
Do you have a Solar PV System?
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Yes
No
Is the property Listed?
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Yes
No
Not sure
Do you have an EPC (Energy Performance Certificate)?
Please Select
Yes
No
Not sure
Other Information
Photo of Existing Boiler
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Photo of Existing Cylinder
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Photo of Property
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EPC
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How did you hear about us?
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Customer Referral
Internet
Event
Newspaper/Magazine
Social Media
Other
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