ASHP – Questionnaire
JR - G&S - ASHP (Customer Facing)
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" indicates required fields
Date of survey
DD slash MM slash YYYY
Customer Name
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Address
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About the house
Roughly when was the house built?
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What is the external wall construction and thickness
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Window Type (single, double, plastic , wood etc)
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Is there a hot water cylinder installed
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Is the roof insulated? How thick
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Is the ground floor wooden, concrete etc
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Is the house currently warm
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Annual heating bill
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How old is the current boiler
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Current fuel used for heating
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Details required for quick heat loss calculation
Average length of ground floor
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Average width of ground floor
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Average length of 1st floor
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Average width of 1st floor
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Average length of 2nd floor
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Average width of 2nd floor
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Items to photograph (For MCS & your records)
The existing boiler showing the pipework connected
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Select files
Max. file size: 512 MB.
The boiler nameplate showing model no
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Max. file size: 512 MB.
The old hot water cylinder and cupboard
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Select files
Max. file size: 512 MB.
The pipework connecting to any one radiator
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Select files
Max. file size: 512 MB.
The fuse board showing fuses
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Drop files here or
Select files
Max. file size: 512 MB.
