1. Which energy source does your system use to heat your home?

   • Natural/LP Gas​

   • Electric

   • None

2. Which type of system do you currently have in your home?

   • Furnace/Air Conditioner Split System ​(Gas Heating/Cooling)

   • Heat Pump Split System (Electric Gas Heating/Cooling)

   • Furnace Only (Heating Only)

   • Air Conditioner Only (Cooling Only)

   • Packaged System (Heating and Cooling Only)

   • Packaged System (Cooling Only)

   • Duct-Free System (Heating and Cooling Only)

   • Duct-Free System (Cooling Only)

3. What is the age of your equipment?

   • Less than five years​

   • 5-10 years

   • 11-15 years

   • 16-20 years

   • over 20 years

4. Is your equipment still under warranty?

   • Yes​

   • No

   • Do Not Know

5. Has the air conditioner compressor or heat exchanger been replaced recently?

   • Compressor

   • Heat Exchanger

   • Both

   • None

   • Do Not Know

6. Is the turning on of your equipment noticeable or disturbing, or causing annoying vibrations in your home?

   • Yes​

   • No

   • Not sure

7. Is your house too hot in the summer or too cold in the winter?

   • Yes​

   • No

8. Do you have a room in your home that never seems to get warm or cool?

   • Yes (which room?)​

   • No

9. How long do you expect to stay in this home?

   • Less than 2 years​

   • 2-5 years

   • 6-10 years

   • over 10 years

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