Name and Surname
                                    * 
                             
            
                                     
					                                
                    Name and Surname 
                                     
             
         
    
                                                    
            
            
                Company name (if any)
                             
            
                                     
					                                
                    Company name (if any) 
                                     
             
         
    
                                                    
            
            
                Address (Street, City, ZIP code)
                                    * 
                             
            
                                     
					                                
                    Address (Street, City, ZIP code) 
                                     
             
         
    
                                                    
            
            
                 E-mail
                                    * 
                             
            
                                     
					                                
                     E-mail 
                                     
             
         
    
                                                    
            
            
                Telephone
                                    * 
                             
            
                                     
					                                
                    Telephone 
                                     
             
         
    
                                                    What HVAC Equipment or system you need work done on?
 
                                                    
            
            
                HVAC Equipment and Systems
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    Central AC System
                                                             
                                                    
                                                                    Central AC Compressor
                                                             
                                                    
                                                                    Heat Pump
                                                             
                                                    
                                                                    Radiator
                                                             
                                                    
                                                                    Furnace
                                                             
                                                    
                                                                    Boiler
                                                             
                                             
                                
                    HVAC Equipment and Systems 
                                     
             
         
    
                                                    HVAC Type?
 
                                                     
                        
                
                    Select the Type of HVAC
                                            * 
                                     
									
													
								 
								Mini-split
							 
													
								 
								Portable
							 
													
								 
								Ducted (individual)
							 
													
								 
								Ducted (central)
							 
													
								 
								Single-split systems
							 
													
								 
								Cassette
							 
													
								 
								Floor standing
							 
													
								 
								Packaged
							 
													
								 
								Pakcaged (RTU)
							 
													
								 
								Heat pump
							 
													
								 
								Boiler
							 
													
								 
								Heat exchanger
							 
													
								 
								Hydronic heating
							 
													
								 
								Ductless mini-split
							 
													
								 
								Humidifier
							 
													
								 
								Aic Conditioner
							 
													
								 
								Central air conditioner
							 
													
								 
								Geothermal heat pump
							 
													
								 
								Furnace
							 
													
								 
								Hybrid system
							 
													
								 
								VRF or VRV HVAC systems
							 
													
								 
								Multi-split systems
							 
													
								 
								HVAC zoning systems
							 
													
								 
								Free cooling
							 
											 
				             
            
                                                    HVAC capacity? 
 
                                                     
            
            
                Specify the HVAC capacity
                                    * 
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    Very small: < 1.5 kW
                                                             
                                                    
                                                                    Small: < 1.5-3.5 kW
                                                             
                                                    
                                                                    Medium: < 1.5 kW
                                                             
                                                    
                                                                    Large: < 7.2-14 kW
                                                             
                                                    
                                                                    Very large: < 14 kW
                                                             
                                             
                                
                    Specify the HVAC capacity 
                                     
             
         
    
                                                    Air supply method?
 
                                                    
            
            
                Air Supply?
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    Direct
                                                             
                                                    
                                                                    Ducted
                                                             
                                             
                                
                    Air Supply? 
                                     
             
         
    
                                                    Property Application?
 
                                                    
            
            
                specify the property type, where the HVAC is installed.
                                    * 
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    Residential Property
                                                             
                                                    
                                                                    Industrial Property
                                                             
                                                    
                                                                    Commercial Property
                                                             
                                             
                                
                    specify the property type, where the HVAC is installed. 
                                     
             
         
    
                                                    Where is the Unit installed in the property?
 
                                                    
                        
                
                    Select the installation place
                                     
									
													
								 
								Basement
							 
													
								 
								Attic
							 
													
								 
								Garage
							 
													
								 
								Closed
							 
													
								 
								Balcony
							 
													
								 
								Terrace
							 
													
								 
								Backyard
							 
													
								 
								Yard
							 
													
								 
								Outdoor Garden
							 
											 
				             
            
                                                    
            
            
                If other, please specify
                             
            
                                     
					                                
                    If other, please specify 
                                     
             
         
    
                                                    How many floors is your property?
 
                                                    
                        
                
                    Number of floors of the property
                                     
									
													
								 
								Single-level building
							 
													
								 
								One-floor building
							 
													
								 
								Two-floor building
							 
													
								 
								Three-floor building
							 
													
								 
								Four-floor building
							 
													
								 
								Five-floor building
							 
													
								 
								Six-floor building
							 
													
								 
								Seven-floor building
							 
													
								 
								Eight-floor building
							 
													
								 
								Nine-floor building
							 
													
								 
								Ten-floor building
							 
													
								 
								High-rise building
							 
											 
				             
            
                                                    
            
            
                If other, please specify
                             
            
                                     
					                                
                    If other, please specify 
                                     
             
         
    
                                                    Mounting Type?
 
                                                    
            
            
                Specify how the HVAC is mounted
                                    * 
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    Rooftop
                                                             
                                                    
                                                                    Window
                                                             
                                                    
                                                                    Wall
                                                             
                                                    
                                                                    Floor
                                                             
                                                    
                                                                    Ceiling
                                                             
                                             
                                
                    Specify how the HVAC is mounted 
                                     
             
         
    
                                                    What Kind of Problems are you experiencing?
 
                                                    
                        
                
                    Specify the problems
                                     
									
													
								 
								No heat
							 
													
								 
								Not enough heat
							 
													
								 
								AC is blowing warm air
							 
													
								 
								Blocked vents
							 
													
								 
								Refrigerant is leaking
							 
													
								 
								Rountine maintenance
							 
													
								 
								Pilot light is off
							 
													
								 
								Strange noises from the AC
							 
													
								 
								Blocked vents
							 
													
								 
								System keeps cycling
							 
													
								 
								Dirty filter
							 
													
								 
								Thermostat may be bad
							 
													
								 
								Water leak (indoor)
							 
													
								 
								Water leak (outdoor)
							 
													
								 
								Damaged Compressor
							 
													
								 
								Unit smells bad
							 
													
								 
								AC Fan failure
							 
													
								 
								Leaking ducts
							 
													
								 
								Electric Control failure
							 
													
								 
								Capacitor failure
							 
													
								 
								Frozen Evaporator Coil
							 
													
								 
								Tripping Circuit Breaker
							 
													
								 
								Frozen condensate pipe
							 
													
								 
								Unit keeps switching off
							 
											 
				             
            
                                                    
            
            
                If other, please specify
                             
            
                                     
					                                
                    If other, please specify 
                                     
             
         
    
                                                    Confirm the address where you need the professionals to carry out works?
 
                                                     
            
            
                Street name and number
                             
            
                                     
					                                
                    Street name and number 
                                     
             
         
    
                                                    
            
            
                City 
                             
            
                                     
					                                
                    City  
                                     
             
         
    
                                                    
            
            
                ZIP Code
                             
            
                                     
					                                
                    ZIP Code 
                                     
             
         
    
                                                    
            
            
                Country of location
                                    * 
                             
            
                                    
                                                    
                                                                    Afghanistan
                                                             
                                                    
                                                                    Albania
                                                             
                                                    
                                                                    Algeria
                                                             
                                                    
                                                                    Andorra
                                                             
                                                    
                                                                    Angola
                                                             
                                                    
                                                                    Antigua and Barbuda
                                                             
                                                    
                                                                    Argentina
                                                             
                                                    
                                                                    Armenia
                                                             
                                                    
                                                                    Australia
                                                             
                                                    
                                                                    Austria
                                                             
                                                    
                                                                    Azerbaijan
                                                             
                                                    
                                                                    Bahamas
                                                             
                                                    
                                                                    Bahrain
                                                             
                                                    
                                                                    Bangladesh
                                                             
                                                    
                                                                    Barbados
                                                             
                                                    
                                                                    Belarus
                                                             
                                                    
                                                                    Belgium
                                                             
                                                    
                                                                    Belize
                                                             
                                                    
                                                                    Benin
                                                             
                                                    
                                                                    Bhutan
                                                             
                                                    
                                                                    Bolivia
                                                             
                                                    
                                                                    Bosnia and Herzegovina
                                                             
                                                    
                                                                    Botswana
                                                             
                                                    
                                                                    Brazil
                                                             
                                                    
                                                                    Brunei
                                                             
                                                    
                                                                    Bulgaria
                                                             
                                                    
                                                                    Burkina Faso
                                                             
                                                    
                                                                    Burundi
                                                             
                                                    
                                                                    Côte d'Ivoire
                                                             
                                                    
                                                                    Cabo Verde
                                                             
                                                    
                                                                    Cambodia
                                                             
                                                    
                                                                    Cameroon
                                                             
                                                    
                                                                    Canada
                                                             
                                                    
                                                                    Central African Republic
                                                             
                                                    
                                                                    Chad
                                                             
                                                    
                                                                    Chile
                                                             
                                                    
                                                                    China
                                                             
                                                    
                                                                    Colombia
                                                             
                                                    
                                                                    Comoros
                                                             
                                                    
                                                                    Congo (Congo-Brazzaville)
                                                             
                                                    
                                                                    Costa Rica
                                                             
                                                    
                                                                    Croatia
                                                             
                                                    
                                                                    Cuba
                                                             
                                                    
                                                                    Cyprus
                                                             
                                                    
                                                                    Czechia (Fmr. Czech Republic)
                                                             
                                                    
                                                                    Democratic Republic of the Congo
                                                             
                                                    
                                                                    Denmark
                                                             
                                                    
                                                                    Djibouti
                                                             
                                                    
                                                                    Dominica
                                                             
                                                    
                                                                    Dominican Republic
                                                             
                                                    
                                                                    Ecuador
                                                             
                                                    
                                                                    Egypt
                                                             
                                                    
                                                                    El Salvador
                                                             
                                                    
                                                                    Equatorial Guinea
                                                             
                                                    
                                                                    Eritrea
                                                             
                                                    
                                                                    Estonaia
                                                             
                                                    
                                                                    Eswatini (fmr. "Swaziland")
                                                             
                                                    
                                                                    Ethiopia
                                                             
                                                    
                                                                    Fiji
                                                             
                                                    
                                                                    Finland
                                                             
                                                    
                                                                    France
                                                             
                                                    
                                                                    Gabon
                                                             
                                                    
                                                                    Gambia
                                                             
                                                    
                                                                    Georgia
                                                             
                                                    
                                                                    Germany
                                                             
                                                    
                                                                    Ghana
                                                             
                                                    
                                                                    Greece
                                                             
                                                    
                                                                    Grenada
                                                             
                                                    
                                                                    Guatemala
                                                             
                                                    
                                                                    Guinea
                                                             
                                                    
                                                                    Guinea-Bissau
                                                             
                                                    
                                                                    Guyana
                                                             
                                                    
                                                                    Haiti
                                                             
                                                    
                                                                    Holy See
                                                             
                                                    
                                                                    Honduras
                                                             
                                                    
                                                                    Hungary
                                                             
                                                    
                                                                    Iceland
                                                             
                                                    
                                                                    India
                                                             
                                                    
                                                                    Indonesia
                                                             
                                                    
                                                                    Iran
                                                             
                                                    
                                                                    Iraq
                                                             
                                                    
                                                                    Ireland
                                                             
                                                    
                                                                    Israel
                                                             
                                                    
                                                                    Italy
                                                             
                                                    
                                                                    Jamaica
                                                             
                                                    
                                                                    Japan
                                                             
                                                    
                                                                    Jordan
                                                             
                                                    
                                                                    Kazakhstan
                                                             
                                                    
                                                                    Kenya
                                                             
                                                    
                                                                    Kiribati
                                                             
                                                    
                                                                    Kuwait
                                                             
                                                    
                                                                    Kyrgyzstan
                                                             
                                                    
                                                                    Laos
                                                             
                                                    
                                                                    Latvia
                                                             
                                                    
                                                                    Lebanon
                                                             
                                                    
                                                                    Lesotho
                                                             
                                                    
                                                                    Liberia
                                                             
                                                    
                                                                    Libya
                                                             
                                                    
                                                                    Luxembourg
                                                             
                                                    
                                                                    Malawi
                                                             
                                                    
                                                                    Malaysia
                                                             
                                                    
                                                                    Maldives
                                                             
                                                    
                                                                    Mali
                                                             
                                                    
                                                                    Malta
                                                             
                                                    
                                                                    Marshall Islands
                                                             
                                                    
                                                                    Mauritania
                                                             
                                                    
                                                                    Mauritius
                                                             
                                                    
                                                                    Mexico
                                                             
                                                    
                                                                    Micronesia
                                                             
                                                    
                                                                    Moldova
                                                             
                                                    
                                                                    Monaco
                                                             
                                                    
                                                                    Mozambique
                                                             
                                                    
                                                                    Myanmar (fmr. Burma)
                                                             
                                                    
                                                                    Namibia
                                                             
                                                    
                                                                    Nauru
                                                             
                                                    
                                                                    Nepal
                                                             
                                                    
                                                                    Netherlands
                                                             
                                                    
                                                                    New Zealand
                                                             
                                                    
                                                                    Nicaragua
                                                             
                                                    
                                                                    North Korea
                                                             
                                                    
                                                                    Niger
                                                             
                                                    
                                                                    Nigeria
                                                             
                                                    
                                                                    North Macedonia
                                                             
                                                    
                                                                    Norway
                                                             
                                                    
                                                                    Oman
                                                             
                                                    
                                                                    Pakistan
                                                             
                                                    
                                                                    Palau
                                                             
                                                    
                                                                    Palestine State
                                                             
                                                    
                                                                    Panama
                                                             
                                                    
                                                                    Papua New Guinea
                                                             
                                                    
                                                                    Paraguay
                                                             
                                                    
                                                                    Peru
                                                             
                                                    
                                                                    Philippines
                                                             
                                                    
                                                                    Poland
                                                             
                                                    
                                                                    Portugal
                                                             
                                                    
                                                                    Qatar
                                                             
                                                    
                                                                    Romania
                                                             
                                                    
                                                                    Russia
                                                             
                                                    
                                                                    Rwanda
                                                             
                                                    
                                                                    Saint Kitts and Nevis
                                                             
                                                    
                                                                    Saint Lucia
                                                             
                                                    
                                                                    Saint Vincent and the Grenadines
                                                             
                                                    
                                                                    Samoa
                                                             
                                                    
                                                                    San Marino
                                                             
                                                    
                                                                    Sao Tome and Principe
                                                             
                                                    
                                                                    Saudi Arabia
                                                             
                                                    
                                                                    Senegal
                                                             
                                                    
                                                                    Serbia
                                                             
                                                    
                                                                    Seychelles
                                                             
                                                    
                                                                    Sierra Leone
                                                             
                                                    
                                                                    Singapore
                                                             
                                                    
                                                                    Slovakia
                                                             
                                                    
                                                                    Slovenia
                                                             
                                                    
                                                                    Solomon Islands
                                                             
                                                    
                                                                    Somalia
                                                             
                                                    
                                                                    South Africa
                                                             
                                                    
                                                                    South Sudan
                                                             
                                                    
                                                                    Spain
                                                             
                                                    
                                                                    Sri Lanka
                                                             
                                                    
                                                                    Sudan
                                                             
                                                    
                                                                    Suriname
                                                             
                                                    
                                                                    Sweden
                                                             
                                                    
                                                                    Swizerland
                                                             
                                                    
                                                                    Syria
                                                             
                                                    
                                                                    Tajikistan
                                                             
                                                    
                                                                    Tanzania
                                                             
                                                    
                                                                    Thailand
                                                             
                                                    
                                                                    Timor-Leste
                                                             
                                                    
                                                                    Togo
                                                             
                                                    
                                                                    Tonga
                                                             
                                                    
                                                                    Trinidad and Tobago
                                                             
                                                    
                                                                    Tunisia
                                                             
                                                    
                                                                    Turkey
                                                             
                                                    
                                                                    Turkmenistan
                                                             
                                                    
                                                                    Tuvalu
                                                             
                                                    
                                                                    Uganda
                                                             
                                                    
                                                                    Ukraine
                                                             
                                                    
                                                                    United Arab Emirates
                                                             
                                                    
                                                                    United Kingdom
                                                             
                                                    
                                                                    United States of America
                                                             
                                                    
                                                                    Uruguay
                                                             
                                                    
                                                                    Vanuatu
                                                             
                                                    
                                                                    Venezuela
                                                             
                                                    
                                                                    Vietnam
                                                             
                                                    
                                                                    Yemen
                                                             
                                                    
                                                                    Zambia
                                                             
                                                    
                                                                    Zimbabwe
                                                             
                                             
                                
                    Country of location 
                                     
             
         
    
                                                    Specify the property status
 
                                                    
            
            
                Property Status?
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    Excellent
                                                             
                                                    
                                                                    Very good
                                                             
                                                    
                                                                    Good
                                                             
                                                    
                                                                    Not good
                                                             
                                                    
                                                                    Under construction
                                                             
                                                    
                                                                    Development projects
                                                             
                                                    
                                                                    New construction
                                                             
                                                    
                                                                    For demolition
                                                             
                                                    
                                                                    Before construction
                                                             
                                                    
                                                                    After reconstruction
                                                             
                                                    
                                                                    In reconstruction
                                                             
                                             
                                
                    Property Status? 
                                     
             
         
    
                                                    Energy label?
 
                                                    
            
            
                Energy label (Energy Performance Certificate)
                             
            
                                    
                                                    
                                                                    Select
                                                             
                                                    
                                                                    B - Very economical
                                                             
                                                    
                                                                    A - Extremely economical
                                                             
                                                    
                                                                    C - Economical
                                                             
                                                    
                                                                    D - Less economical
                                                             
                                                    
                                                                    G - Extremely wasteful
                                                             
                                                    
                                                                    F - Very wasteful
                                                             
                                                    
                                                                    E - Inefficient
                                                             
                                             
                                
                    Energy label (Energy Performance Certificate) 
                                     
             
         
    
                                                    Infrastructure (within 0.1km - 5.0km)?
 
                                                    
                        
                
                    Select the infrascture located with 0.1km to 5 km from the property
                                     
									
													
								 
								Bus stop
							 
													
								 
								Train station
							 
													
								 
								Post Office
							 
													
								 
								ATM
							 
													
								 
								Hospital
							 
													
								 
								Clinic
							 
													
								 
								Veterinary
							 
													
								 
								Elementary school
							 
													
								 
								Kindergarten
							 
													
								 
								Supermarket
							 
													
								 
								Small grocery store
							 
													
								 
								Restaurant
							 
													
								 
								Pub
							 
													
								 
								Shopping centre 
							 
													
								 
								Playground
							 
													
								 
								Metro
							 
													
								 
								University (College)
							 
													
								 
								Cafeteria
							 
											 
				             
            
                                                    Amenities and Property Features?
 
                                                    
                        
                
                    Select the amenities and features of the Property
                                     
									
													
								 
								Wood construction
							 
													
								 
								Blocks
							 
													
								 
								Prefab
							 
													
								 
								Utility room
							 
													
								 
								Swimming pool
							 
													
								 
								Wood flooring
							 
													
								 
								Marble flooring
							 
													
								 
								Carpets / Carpet tiles
							 
													
								 
								Air conditioning
							 
													
								 
								Microwaves
							 
													
								 
								Garage
							 
													
								 
								Parking
							 
													
								 
								Garden
							 
													
								 
								Tennis Court
							 
													
								 
								Movie Theater
							 
													
								 
								 Library Lounge
							 
													
								 
								Ceramic Tile
							 
													
								 
								Billiard Room
							 
													
								 
								Business Centre
							 
													
								 
								Clubhouse
							 
													
								 
								Patio/Terrace
							 
													
								 
								Dryer
							 
													
								 
								Sauna
							 
													
								 
								Rooftop Spa
							 
													
								 
								Wine Room
							 
													
								 
								Disposal
							 
													
								 
								Washing room
							 
													
								 
								Refrigerator
							 
													
								 
								Icemaker
							 
													
								 
								Oven
							 
													
								 
								Concierge
							 
													
								 
								Exercise room
							 
													
								 
								Fire alarm
							 
													
								 
								Smoke detector
							 
													
								 
								Elevator
							 
													
								 
								Boat dock
							 
													
								 
								Diswasher
							 
													
								 
								Children playground
							 
													
								 
								Vehicle wash area
							 
													
								 
								Balcony
							 
													
								 
								Wall Oven
							 
													
								 
								Kitchen
							 
											 
				             
            
                                                    When do you need the work be done?
 
                                                        
            
            
                The earliest date
                                    * 
                             
            
                                     
					                                
                    The earliest date 
                                     
             
         
    
                                                        
            
            
                The latest date
                                    * 
                             
            
                                     
					                                
                    The latest date 
                                     
             
         
    
                                                    
                        
                
                    Immediately
                                            * 
                                     
									
													
								 
								Immediately
							 
											 
				             
            
                                                    What type of service do you need?
 
                                                    
                        
                
                    Select
                                     
									
													
								 
								Dismantling service
							 
													
								 
								Installation Service
							 
													
								 
								Repair service
							 
													
								 
								Maintenance service
							 
													
								 
								Redesign service
							 
													
								 
								Refurbishment service
							 
											 
				             
            
                                                    Provide more information (if any)
 
                                                    
            
            
                Property Description
                                    * 
                             
            
                                    
                                
                    Property Description 
                                     
             
         
    
                                                    Attachments (documents and pictures)
 
                                                    
            
            
                Picture or document
                             
            
                                     
					                                
                    Picture or document 
                                     
             
         
    
                                                    
            
            
                Picture or document
                             
            
                                     
					                                
                    Picture or document 
                                     
             
         
    
                                                    
            
            
                Picture or document
                             
            
                                     
					                                
                    Picture or document 
                                     
             
         
    
                                                    
            
            
                Picture or document
                             
            
                                     
					                                
                    Picture or document 
                                     
             
         
    
                                                    
            
            
                Picture or document
                             
            
                                     
					                                
                    Picture or document