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*If your mailing address is not the property you wish to discuss,
please list your greater Atlanta
area property or properties here:

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Most convenient time to schedule
your optimization inspection.

Select One Received letter Received postcard Received email Found it on your website Referred by Dell staff Saw your ad Other

Please take a minute to answer the following questions. If you don't have the time today, 
submit the form now, and we'll get this information when we come for the inspection. 

Please identify all current 
home comfort equipment.
Check all that apply

HEATING & COOLING (check all that apply)
Heat pump       Less than 10 years Choose one 10-12 years 13-15 years 16-19 years 20 or more years
Central A/C      Choose one Less than 10 years 10-12 years 13-15 years 16-19 years 20 or more years
Furnace  Choose one Less than 10 years 10-12 years 13-15 years 16-19 years 20 or more years
     Heating Fuel type  Choose one Natural Gas Propane Oil Electric
Programmable Thermostat
Zoning Choose one Hydraulic dampers Multiple heat/cool source

AIR QUALITY SYSTEMS (check all that apply)
Humidifier      Choose one Room unit(s) Whole house system
Air cleaner     Choose one Room unit(s) Whole house system       
       If a whole house system, check one:                   
        Media Air Filter (usually 4" filter in special cabinet)
        Electronic Air Filter                   
        HEPA Air Filter
        Hybrid Combination Air Filtration System
Fresh Air Ventilation System
Dehumidifier Choose one Stand-alone unit Whole house system

Other home comfort
equipment:

Please identify your main concerns
with your current systems.
Check all that apply

Afraid old system will need frequent expensive repairs
Large temperature swings -- too hot, then too cold
Uneven room-to-room temperatures
Stale musty air
System not performing like it did when new
Allergies and sinus problems
Have to dust too often
Mold and mildew problems

Other comments
or concerns: