HVAC Intake Form

Form
Help us get you the right fix faster

Just your name and contact info is fine! But if you tell us what's going on, like smells, sounds, or if it's urgent, we can send the right tech and arrive prepared to fix it faster. Takes about 2 minutes.
Name

First NameLast Name
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState

Zip Code
How old is your HVAC system?

16+ yearsNot Sure5-10 years10-15 years
When was your HVAC system last professionally serviced?

Under 6 months6-12 months1-2 years2+ yearsNever or Don't Remember
What type of heating/cooling system do you have?

Central AC and FurnaceHeat PumpDuctless Mini-SplitBoiler / RadiatorsWindow UnitsOther / Not Sure
Are you experience any of these issues right now?

No heating or cooling at allStrange burning smellWater leaking from unitSystem won't turn offSystem runs constantly but doesn't reach set temperatureLoud grinding, squealing, or banging noisesWeak airflow from ventsIce buildup on outdoor unit (AC) or coilsUneven temperature between rooms (eg: 5 degree difference)Higher than normal energy billsSystem cycles on and off frequently (short-cycling)Thermostat not responding properlyMinor concerns, nothing urgentNo issues, just want a check-upSystem working fine
Have you noticed any unusual smells when your system runs?

Musty or moldy smellBurning smellDusty smellRotten egg smell (gas)No unusual smellsOther
How urgent is your need for service?

Emergency: need help todayVery urgent: within 2-3 daysSoon: within 1-2 weeksNot urgent: planning aheadJust researching / getting information
Tell us anything else that would help understand what's happening with your system
Share any additional comments here that will help our team be prepared to support you
How was this form to use today?

We try to make things quick and easy so your tech can get right to the fix.
Lead Score
Should be Empty:

Form

Help us get you the right fix faster