HVAC Form Step 1 of 6 16% Address(Required) Street Address Is this where you live? Yes No Address Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Provide Your Contact InformationNameEmail Phone What Type of HVAC Service Do You Need? Air Conditioning Installation Air Conditioning Repair Heating Installation Heating Repair Furnace Installation Ductwork Cleaning Indoor Air Quality Testing Heat Pump Installation Heat Pump Repair Thermostat Installation Ventilation System Installation Other Please Specify What Type of System Do You Currently Have? Central Air Conditioning Window/Wall Unit Air Conditioner Furnace (Gas/Electric) Heat Pump Boiler Not sure Other Please Specify Are You Experiencing Any Specific Issues with Your HVAC System? Inconsistent Temperature Strange Noises or Smells System Not Turning On/Off Poor Airflow High Energy Bills Frequent Cycling On/Off Reduced Air Quality (e.g., dust, allergens) No issues, just routine maintenance or installation Other (please specify) Please Specify How Old is Your Current HVAC System?Less than 5 years5-10 years10-15 yearsOver 15 yearsNot sureWhat is the Timeline for This Project?As soon as possibleWithin the next month1-3 months3-6 monthsFlexibleWhat is Your Approximate Budget for the HVAC Project?Less than $2,500$2,500 - $7,500$7,500 - $15,000Over $15,000Not sure