Steve Jennings

Air Source Heat Pump Survey

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Title Page

Conducted on
Prepared by
Location

Customer Details

Clients Name
Address
Contact Number
Email Address
EPC Completed on the Property
Known Date of EPC

Property Details

Property Type

Number of Bedrooms
- 1
- 2
- 3
- 4
- 5
- 6+
Age
Construction
Cavity
Cavity Insulated
Window Construction
Roof Construction
Plans Provided (if yes, please forward via email, including questionnaire)
Property Size
Height (Floors)
- 1
- 2
- 3
- 4
- 5
- 6+
Width (Meters)
Length (Meters)

Property Heating

Existing Heating
- Electric Storage
- Electric Boiler
- Combination Boiler
- Boiler & Cylinder
- ASHP
- GSHP
Fuel Source
- Oil
- Gas
- Electric (Single Phase)
- Electric (3 Phase)
- LPG
- Coal
- Wood
Heat Emmitters

Hot Water Demand

Number of Bathrooms
Number of Shower Mains Water
Number of Showers Electric

Steve Jennings

Air Source Heat Pump Survey

Use this Template

Print as PDF

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