Heat Pump Pre Survey Questionnaire

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PERSONAL DETAILS

Full Name

Prefix First Last

Email

Phone Number

Postcode

Address Line 1

Address Line 2 (Optional)

Address Line 3 (Optional)

Town or city

PROPERTY DETAILS

Is it main home or holiday home?

Number of occupants?

Must contain only numbers.

Property type?

Year of construction?

Must contain only numbers.

Number of floors?

Must contain only numbers.

Number of bedrooms?

Must contain only numbers.

Number of bathrooms?

Must contain only numbers.

Wall construction?

Double glazing?

Roof insulation?

Is roof boarded?

Floor type?

Do you have a current EPC within 2 years?

Is the property listed or in a conservation area?

Are you planning to extend in the near future?

Current heating system?

Boiler location?

Boiler type?

Cylinder - Pressurised / Open vent?

Roof tanks?

Number of radiators?

Must contain only numbers.

Underfloor heating?

Pipework to radiator?

Do you have solar panels fitted?