Save ££ on your gas this winter 
Please complete this survey about your current radiators and boiler. 
Sign in to Google to save your progress. Learn more
Your name *
Your email address
Contact telephone number *
Post code *
What is the make and model of boiler (on the front of the boiler)?
Is the boiler currently working? *
Has the boiler been serviced in the last year? *
In how many rooms would you like to be able to control the radiators? Bedrooms and living rooms are an excellent start point. *
Do your radiators currently have non-digital thermostatic vales? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report