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Next Day Heating and Cooling
1
How Old Is Your Current System?
0–5 Years
6–10 Years
11–15 Years
Over 15 Years
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2
How Well Does Your System Currently Keep Your Home Comfortable?
Always Consistent and Even
Some Rooms Too Hot or Cold
Takes a While to Get to The Right Temp
Not Working at All
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3
Have Your Energy Bills Gone Up Recently?
Yes, a Lot
A Little
Not Sure
No Change
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4
Is Your System Making Unusual Noises or Smells?
Yes, Really Loud Noises
Yes, Strange Smells
No
Not Too Sure
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5
When Was Your Last Professional Maintenance or Inspection?
This Year
1–2 Years Ago
3+ Years Ago
Can’t Remember
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6
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First Name
Last Name
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