Full Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
E-mail
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What Reasons do you want to change your HVAC System?
*
New Construction
High Energy Costs
Too Many Service Problems
Equipment is too old
Increase Efficiency
Remodeling
Increase Comfort
Other
What type of house construction do you have?
Please Select
Block or Stucco
Brick
Frame with Brick Veneer
Frame with Vinly Siding
Frame with Aluminum Siding
ICF - Insulated Concrete From
SIP - Structural Insulated Panels
Other
What is the age of your house?
Please Select
0-5 Years
5-10 Years
11-20 Years
21-30 Years
31-99 Years
Historic
Stories or Levels of House
Please Select
Single Story
Two Story
Three Story
Multiple Levels
Does your house have a basement, crawlspace or slab?
Please Select
Basement
Crawlspace
Slab
What is the total livable square footage of the house? Or the length x width of the house x the number of stories?
What is the square footage of the first floor?
What is the square footage of the second floor?
What is the square footage of the third floor?
What are the outside perimeter dimensions of the house? Length x Width
The front of my house faces
Please Select
North
East
West
South
Northeast
Northwest
Southeast
Southwest
The height of the interior walls in my house are?
Please Select
7'
8'Average
9'
10'
Other
There are vaulted or cathedral ceilings in my house and they are?
Please Select
12'
14'
16'
18-20'
Other
Insulation - Is there insulation in the basement, crawlspace or slab?
Yes
No
Don't Know
Amount of Insulation for the basement, crawlspace or slab?
Please Select
1-2" Foam
2-4" Foam
4-6" Foam
Fiberglass 6" or more
Other
Insulation - Is there insulation in the walls?
Yes
No
Don't Know
Insulation - Amount of Insulation in the Walls
Please Select
1-2" Foam
2-4" Foam
4-6" Foam
Fiberglass 4" R-11 Typical for Homes built 15 years or older with 2x4 walls
Fiberglass 4" R-13 Typical for Homes built in past 10 years with 2x4 walls
Fiberglass 6" R-19 Typical for Homes with 2x6 walls built in past 15 years
SIP Panels or ICF Construction with R-30 or Higher Values
Other
Don't Know
Insulation - Amount of Insulation in the Ceiling or Roof Areas
Please Select
4" Blown in Mineral Wool
6-8" Blown in Mineral Wool
More than 8" of Mineral Wool
Fiberglass 4" R-11 Typical for Homes built 15 years or older
Fiberglass 4" R-13 Typical for Homes built in past 10 years
Fiberglass 6" R-19
Fiberglass 9" or more
Other
Don't Know
Windows - Types of Windows in the House?
Please Select
Single Pane Wooden Sash Windows - No other protection
Single Pane Aluminum Windows - No other Protection
Single Pane Windows with Storm Windows
Double Insulated Windows
Double Insulated Windows with Low E
Double Insulated Windows with Low E and Argon
Combination of Single Pane and Double Insulated Windows
Other not defined
Don't Know
Windows - In the front of my house there are how many windows?
Windows - In the rear of my house there are how many windows?
Windows - In the left side of my house there are how many windows?
Windows - In the right of my house there are how many windows?
Windows - The average height of my windows in inches is?
Windows - The average width of my windows in inches is?
Windows - I have bay windows in my house?
Yes
No
Windows - The first bay window is this size?
Please Select
16 square feet
20 square feet
24
30 square feet
36 square feet
Other
Windows - The first bay window in my house faces?
Please Select
North
South
East
West
Northeast
Northwest
Southeast
Southwest
Windows - The second bay window is this size?
Please Select
16 square feet
20 square feet
30 square feet
36 square feet
Other
Windows - The second bay window in my house faces?
Please Select
North
South
East
West
Northeast
Northwest
Southeast
Southwest
Doors - Type of front entry door in my house?
Please Select
Wood Solid Core
Wood Hollow Core
Metal
French
French Double Door
Sliding Glass Door
Other
Doors - Type of side entry door in my house?
Please Select
Wood Solid Core
Wood Hollow Core
Metal
French
French Double Door
Sliding Glass Door
Other
Doors - Type of rear entry door in my house?
Please Select
Wood Solid Core
Wood Hollow Core
Metal
French
French Double Door
Sliding Glass Door
Other
Doors - Are there storm doors?
Yes
No
Skylights - Are there any skylights?
Yes
No
Skylights - Size of the skylight "inches by inches"?
Infiltration - How tight is your house?
Please Select
Notably sealed (New Construction)
Moderate - Homes built after 1980 or newly remodeled
Loose - If the wind blows, the curtains move
Heating System - Type of heating system you have presently?
Please Select
Gas furnace forced air
Oil Furnace forced air
Gas Boiler baseboard heat
Oil boiler baseboard heat
Gas/Oil boiler with radiant heat
Electric heat
Heat Pump
Air Conditioning - Do you presently have it?
Yes
No
Air Conditioning - Do you plan on adding air conditioning now?
Yes
No
Air Conditioning - What level of air conditioning efficiency do you want to achieve
Please Select
Minimum 13 Seer Builder's Model
14 Seer Single Stage
15 Seer Single Stage $300 Tax Credit
15 Seer Two Stage Compressor $300 Tax Credit
16 Seer Two Stage Compressor with Puron $300 Tax Credit
Maximum efficiency possible
Heating System - Type of heating system you would like to install?
Please Select
Gas furnace forced air
Oil Furnace forced air
Gas Boiler baseboard heat
Oil boiler baseboard heat
Gas/Oil boiler with radiant heat
Electric heat
Heat Pump
Heating System - Level of efficiency wanted?
Please Select
80% Absolute minimum - Some states do not permit 80% furnaces
90% or higher Single Stage
90% or higher Two Stage
95% or higher with $150 Tax Credit
95% or higher with 2 Stage and Variable Speed with $200 Tax Credit
Other pertinent information you would like to add about your house....
Further requests you would like to make regarding the type of HVAC system you require...
Optional Survey Questions - Please Answer at your Discretion
How did you find us?
Please Select
Google Search
eBay Search
Other search engine
Online Advertising
Referral from friend or family
Media Advertising Radio
Media Advertising Television
Other
Is This a Do It Yourself Project?
Yes
No
How would you rate the importance of DESCO Energy's Membership to the Better Business Bureau?
Highly Important
Important
Neutral
Not Important
Didn't realize DESCO's membership to the Better Business Bureau
How would you rate the importance of DESCO Energy's BuySafe Bonding of $20k for each online transaction?
Highly Important
Important
Neutral
Not Important
Didn't realize DESCO Energy was bonded
How would you rate the importance of an online HVAC seller to be a Factory Authorized Distributor or Dealer?
Highly Important
Important
Neutral
Not Important
I assumed all online sellers were Factory Authorized
How much of the installation do you plan on undertaking?
As much as legally possible
At least 70% of the installation
At least 50% of the installation
Less than 25% of the installation
Very little of the installation
None
My reason(s) for undertaking a DIY project for an HVAC system are?
$$ Money to be saved
Want the satisfaction of knowing the installation will be performed correctly
The challenge of the accomplishment
Reduce Energy Consumption - Save Energy
Lack of trust and confidence in local contractors
Increase the comfort level in my house
Eliminate high maintenance costs
Are you aware how Factory Warranties are handled in the HVAC Industry?
Warranties are handled only through Authorized Distributors and Dealers
Warranties are handled directly from the manufacturer to the homeowner
Warranties can be handled by any contractor
I'm not aware how warranties or technical support are handled
Not Important
Have you completed other major do it yourself projects?
Kitchen
Bathroom
Electrical
Plumbing
Framing
Roofing
Addition
Complete Remodeling
None of the above
Are you aware that all installations require a licensed technician of your choice to complete the installation and final start up?
Yes
No
I'm confused and need more information
I plan to do the complete installation without the assistance of any outside source
Are there any suggestions or comments you would like to make regarding any other information or services we provide
Have you found the information provided by DESCO Energy to be an influencing factor
The information provided by DESCO online has had an impact in helping me to decide to undertake this project
My mind was already decided
It has been a combination of many things
The information had no impact on my decision
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