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Property Questionnaire
HOME
PRODUCTS
SERVICES
RESULTS & TESTIMONIALS
BROCHURES
ABOUT US
TEAM
NEWS
SUPPORT
Property Questionnaire
P R O P E R T Y Q U E S T I O N N A I R E
Please fill in all the details and upload good quality images. The information required below is
for each boiler room.
Property and Contact Details
*
Indicates required field
Property's Name
*
Property Address
*
Contact Person
*
First
Last
Company / Organization
*
Email
*
Cellphone
*
Work Telephone
*
Boilers (Heat)
Boilers Type
*
Atmospheric - Steam
Atmospheric - Hydronic (water)
High efficiency - Non condensing
Number of boilers
*
1
2
3
4
5
6
Boilers Brand and Model
*
Boiler External Control Method
*
Dry contact - low voltage
Dry contact - high voltage
0-10v
4-20mA
Not sure
Number of Heat Zones (Individual Building Pumps)
*
1
2
3
4
5
Not sure
Image of Boiler Room, showing all boilers
*
Max file size: 20MB
BOILER 1 - Front image of boiler
*
Max file size: 20MB
BOILER 1 - Image of manufacturer's plate
*
Max file size: 20MB
Property's floor plan
*
Max file size: 20MB
BOILER 2 - Front Image of Boiler
*
Max file size: 20MB
BOILER 2 - Image of manufacturer's plate
*
Max file size: 20MB
Domestic Hot Water
Number of DHW Tanks/Heaters
*
1
2
3
DHW Tanks/Heaters Brand & Model
*
DHW Tanks/Heaters - Front Image
*
Max file size: 20MB
Type of DHW heaters
*
Tank-less (instant heat)
Tank - Internally Fired
Tank - Externally Fired (main boiler)
Tank - Externally Fires (DHW boiler)
Not sure
Other information
HVAC service provider - Contact Name
*
HVAC Service Provider - Email
*
HVAC Service Provider - Cellphone number
*
After clicking "Submit" please be patient, uploading the images might take a few seconds.
When upload is complete, you will see a confirmation message.
SUBMIT