ESPI Opportunities Consultant —Please choose an option—Ron DixonRon DreyerMatt Gray Lead Set By (if applicable) —Please choose an option—XavierMarkMo DesjardinsEric WilkinsMatt GrayMike GalvinJeremy WoodsPete DasslerJohn MillerThomas SwainDavid HernandezRichard BentancourtReginald OwensMiguel Galvan Jr.Tyler Winton Customer Name Call Type: —Please choose an option—RetailExisting HPFAAHSESC ServiceESC MaintenanceOne Time MaintenanceAssistance CallPart PendingUpgrade PendingRecallOther Who is present at the home? —Please choose an option—Homeowner - FemaleHomeowner - MaleHomeowner - BothNon-homeowner Policy HolderTenantLandlordMaidOther Age of Home —Please choose an option—< 5 years5 - 10 years10 - 20 years20+ years Square Feet —Please choose an option—0 - 10001001 - 15001501 - 20002001 - 25002501 - 30003001 - 35003500+ Peak Energy Bill: —Please choose an option—255075100125150175200225250275300325350375400425450475500500+ Comfort Concerns Indoor NoiseOutdoor NoiseDust IssuesAsthmaAllergiesUneven TemperaturesToo Much HumidityToo Little Humidity Air Conditioning Number of Systems: —Please choose an option—12345 Age of System: —Please choose an option—< 5 years5 - 10 years10+ years SEER —Please choose an option—<10 SEER10 SEER11 SEER12 SEER13 SEER14 SEER15 SEER16 SEER17 SEER18 SEER18+ SEER Furnace Furnace Age —Please choose an option—< 5 years5 - 10 years10+ years AFUE Indoor Air Quality Source Control Supply Duct LeakageReturn LeakageUnsealed RegistersUnsealed Attic LadderUnsealed Attic Penetrations Filter Location —Please choose an option—At FurnaceAt Grill UV Purification —Please choose an option—YesNo Attic Efficiency Attic Leakage —Please choose an option—MinimalModerateSevere Insulation R-Value —Please choose an option—R-38 or GreaterR-30Less than R-30 Attic Ventilation Soffits ClearRidge VentGable VentPower VentilatorWhirly BirdSolar Attic Fan Radiant Barrier Cool PlySpray OnStaple OnNone Duct System Return Leakage —Please choose an option—MinimalModerateSevere Supply Leakage —Please choose an option—MinimalModerateSevere Replacement Opportunity —Please choose an option—YesNo Duct Type Duct BoardSheet metalFlex Duct Estimated Duct Age —Please choose an option—< 5 years5-10 years10 - 15 years15+ years Duct Insulation R-Value —Please choose an option—< R4R4R6R8 Number of Returns —Please choose an option—AdequateInadequate Installation Improvements Needed SealStretchStrapStraighten Summary Equipment being replaced (If multiple, add information on other units in the comments section): Type —Please choose an option—CondenserEvaporator CoilFurnaceHeat PumpAir Handler Brand —Please choose an option—American StandardCarrierTraneRuudRheemAmanaGoodmanLennoxBryantColemanYorkOther Model Serial Best Package To Be Presented: Better Package: Good Package: Additional Comments:
