Monday, February 6, 2012
Serving the Wake, Johnston & Harnett Co. areas for over 46 years - Since 1963
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Home Comfort Questionaire
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919-552-9223
or
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Home Comfort Needs Questionaire
This questionaire will help us to better recommend solutions for your home comfort needs. Please describe below as best as you can:
How long have you lived in your current home?
Choose Option
0-5 years
6-10 years
11-15 years
16-20 years
Over 20 years
How old is your home?
Choose Option
0-5 years
6-10 years
11-15 years
16-20 years
Over 20 years
Has your home been remodeled, or will it be remodeled?
Yes
No
How old is your heating system?
Choose Option
0-5 years
6-10 years
11-15 years
16-20 years
Over 20 years
Are you interested in financing options?
Yes
No
How old is your air conditioner or heat pump?
Choose Option
0-5 years
6-10 years
11-15 years
16-20 years
Over 20 years
Do you have hot or cold spots?
Yes
No
Are you more concered with initial cost or long term savings?
Initial Cost
Long Term Savings
Does anyone in your house suffer from hay fever or seasonal allergies?
Yes
No
Rate your preferences
On a scale of 1 (low) to 5 (high) rate the importance of the following home comfort issues:
Consistent temperature throughout the home
Choose Option
-
1
2
3
4
5
Reduce dry winter air
Choose Option
-
1
2
3
4
5
Reduce summer humidity
Choose Option
-
1
2
3
4
5
Dependable service
Choose Option
-
1
2
3
4
5
Quiet operation
Choose Option
-
1
2
3
4
5
Warranty
Choose Option
-
1
2
3
4
5
Lower utility bills
Choose Option
-
1
2
3
4
5
Improving indoor air quality
Choose Option
-
1
2
3
4
5
Environmentally friendly technology
Choose Option
-
1
2
3
4
5
Customized appearance of AC or heat pump
Choose Option
-
1
2
3
4
5
Contact Info
Name
Phone Number
Email
Would you like for someone to contact you to set up a consultation?
Yes
No
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American Comfort Solutions
126 South Fuquay Ave
Fuquay Varina NC 27526
(919) 552-9223
