Web Form
HEATING SURVEY QUESTIONNAIRE
Please type in all relevant information or check boxes using the fields provided
We will not send out sales representative or bother you with unwanted phone calls,
Under the data protection act we will NOT keep or share your details. Thank you.

TITLE:

FIRST NAME

SURNAME:

HOME TEL No:

MOBILE No*:

EMAIL 1*:

EMAIL 2:

FULL  ADDRESS:

FULL DELIVERY ADDRESS (if different):

 

SURVEY DETAILS: PLEASE ENTER METRIC MEASUREMENTS, WRITE OR CHECK WITH AN X WHERE APPLICABLE

 
TERRACE SEMI DETACHED BUNGALOW FLAT COMMERCIAL
APPROXIMATE AGE(years)
 
SOLID WALLS UNINSULATED CAVITY WALLS INSULATED CAVITY WALLS LOFT INSULATION
 

ROOM/AREA

Please enter in meters or feet

FLOOR (Story)

WIDTH

LENGTH

CEILING HEIGHT

No of OUTER WALLS

No of WINDOWS

SINGLE GLAZED

DOUBLE GLAZED

INTELLI HEAT USE

ENTRANCE HALL

INNER HALL

LIVING ROOM

SEPARATE KITCHEN

UTILITY ROOM

DINING ROOM

LIVING ROOM 2

STUDY

CLOAKROOM

IST FLOOR LANDING

BEDROOM 1

BEDROOM 2

BEDROOM 3

BEDROOM 4

ENSUITE 1

ENSUITE 2

BATHROOM 1

BATHROOM 2

LANDING 2

 

Preferred Radiator/range:

 

Please contact your INTELLI HEAT Representative should your property have additional areas or a particular feature not provided for in this survey form, such as irregular construction, a double height ceiling with an open gallery area or a vaulted apex ceiling.  

Pease note that unless otherwise requested our heating calculations will be based on the following CELICUS degrees: Living areas at 21, Bathrooms at 22. Bedrooms, Kitchens, Hallways and Landings at 18. The heating plan specified will be based on the information and measurements you provide, it is your responsibility to ensure to ensure that all such information is correct therefore we cannot be held responsible should that information be incorrect. For your safety, installation should only be undertaken by a competent person in accordance with current I.E.E Regulations, please contact your INTELLI HEAT Representative for further assistance or information.  

 
Intelli Heat ltd. Unit 18 Napier Place, Stephenson Way, Thetford, Norfolk IP24 3RL
T: 0845 163 0055 – F: 0845 163 0045 –
E: office@intelligentheat.co.uk – www.intelligentheat.co.uk