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Property Information Form
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* Indicates required question
Homeowner Name
*
Your answer
Address
*
Your answer
Postcode
*
Your answer
Official registered address (new builds) * if appropriate
Your answer
Homeowner Phone number
Your answer
Homeowner Email
Your answer
Does the home owner intend to claim any funding?
Yes
No
Maybe
Clear selection
Installer Name
Your answer
Installer Contact Number
Your answer
Installer Email
Your answer
Preferred heat pump manufacturer?
Daikin
Grant
Samsung
Vaillant
Warm Flow
Other:
Clear selection
How is the property used?
Domestic
Commercial
Is the property?
New Build
Current Home
Renovation
Do you have architectural drawings for the property / renovations?
Yes
No
Other:
Clear selection
Is the property listed or in a conservation area?
Yes
No
Maybe
Clear selection
Age of the property?
Your answer
Property Type?
Choose
Detached
Semi-Detached
Bungalow
Bungalow with Dormer
Semi-Detached Bungalow
Semi-Detached Bungalow with Dormer
Mid-Terrace
End-Terrace
Barn
Ground Floor Flat
Mid-Floor Flat
Top Floor Flat
Commercial
How many floors in the property?
Choose
1
2
3
4
5
Total number of rooms in the property, including Hallways, Landings & Bedrooms?
Your answer
Number of bedrooms in the property?
Your answer
How many people live in the property?
Choose
1
2
3
4
5
6
More
Any plans to extend the property in the future?
Yes
No
Maybe
Clear selection
Is the property on the gas grid?
Yes
No
Clear selection
Does the property have any other renewables?
Biomass Boiler
Solar PV
Solar Thermal
Thermodynamic
Wind Turbine
None
Other:
Clear selection
Existing way the property is heated?
Electric
Gas
LPG
Oil
None
Other:
Clear selection
Existing heating methods for the property? *Select all that apply
Underfloor Heating
Radiators
Towel Rails
Other:
Intended heating methods for the property? *Select all that apply
Underfloor Heating
Radiators
Towel Rails
Other:
Underfloor heating pipe space *if appropriate
100mm
150mm
200mm
250mm
300mm
Clear selection
Flooring used with Underfloor heating *If appropriate
Carpet
Engineered Wood
Karndean
Natural Stone
LVT
Tile
Wood
Other:
Please specify if any rooms have different or multiple floor coverings
Your answer
Preferred Radiator manufacturer *If appropriate
Grant
Henrad
K Rad
Myson
Stelrad
Other:
Clear selection
Preferred model of radiator?
Your answer
Any other comments?
Your answer
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