Heat pump

Before you begin, please could you tell us where you heard about us? *

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Which heat pump technology are you considering? Air Source Ground Source Lake Source

If you are looking to install a ground-source heat pump, how much land is available for trenches?

If you are looking to install a water-source heat pump, please describe the water-source that you would like to use (including dimensions)

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Which of the following best describes the location of your home? In the town centre Residential area In a small village Very rural

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Is it a listed building or within a conservation area? Yes its a listed building Yes its in a conservation area Yes its a listed building and its in a conservation area No neither of the above

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What type of property do you have? Flat Bungalow Terrace Semi-detached Detached Other

How many rooms does it have? *

How many bedrooms does it have? *

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What system(s) do you use to heat your property? Radiators Under floor heating Gas fires Open fires Wood burning stove Other

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Does your property have: A minimum of 270mm of mineral wool loft insulation or equivalent product? Yes No Don't know

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Does your property have cavity wall insulation? Yes No Don't know

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Does your property have basic controls for your heating system? (room thermostat and a programmer or timer) Yes No Don't know

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Does your property have double glazing? Yes No Don't know

Please add any other comments you think may be relevant, for example property access issues, project deadlines, unusual property or location details. Please email relevant photos or drawings to microgen@goodenergyshop.co.uk

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Address *

Address 2

Town *

County

Postcode *

Email address *

Telephone number *

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