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Dear Valued customer;

Our goal is to help you create a comfortable, clean, healthy home with low utility and repair bills.  This survey will help us determine if we can serve you better. Please fill out this form and we will contact you.  Thank you!

Health & Clean Air Issues

Does anyone in your home...

...get frequent headaches, flu-like symptoms, or feel tired all the time?

  

...have asthma, or allergies to dust, pollen or molds?



...Ever go to bed with a clear head and wake up the next morning stuffy?



Does your house ever smell musty or unpleasant?



Does your furniture seem to get dusty within a few days after house cleaning?



Is the air in your house to dry in the winter?
(static shocks, dry sinuses, cracked lips)



Does water run down the inside of your windows in the wintertime?

  


Comfort & Utility Bill Issues

Are any areas uncomfortably cold in the winter?

 

Are any areas uncomfortably hot in the summer?

 

How cool do you keep your house in summer? Type in boxes below:

Day    Degrees             Night    Degrees 


Do you ever feel uncomfortable even though the AC is on?
(e.g. wake up sweating or clammy feeling)

 

Does your system ever run non-stop but still not keep you comfortable?

 

If you have a heat pump, does it ever seem to blow cold air in the winter?

         

How important is saving money on your utility bills?

 


What do you NOT like about your present HVAC system?



Would you like a free telephone consultation to discuss possible causes of any of the above common problems, and whether there are any economical solutions.
(including do it yourself repairs)?
First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Day Phone
Evening Phone
E-mail

 

Enter the date in space below: Type in box below


Do you Have any other concerns not identified in this Survey


 

 
Business Information

136 S. Blue Heron Drive
Santa Rosa Beach,
Florida. 32459
Ph: 850 654-HVAC (4822)
Admin Fax: 850 622-0832
Service Fax: 850 622-4047

e-mail: Jefcoac@yahoo.com

Normal Hours
Monday - Friday
8:00AM - 5:00PM

Emergency Hours
7 Days a Week 
24 hours a day
365 days a year

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