| 1. Your details |
|
| Name |
|
Address
and postcode |
| |
|
Promise:
We won't share your details
with any other organisation |
|
| Land line(s)
and mobile phone(s) |
|
| E-mail address |
(please enter only one address) |
How did you find
out about us? |
Google
Yellow Pages
Solar Trade Association
Personal recommendation
Sign / van
Other |
|
| 2. Your house |
Please tick all boxes that apply |
| Your house is |
detached
semi-detached
terraced
a bungalow
2 storeys high
3 or more storeys high |
| How many bedrooms? |
|
How many bathrooms & shower rooms? |
|
| How many permanent occupants? |
adult(s)
teenager(s)
child / children |
| Primary source of heat |
Oil
Natural gas
LPG
Wood
Coal
Other |
| Your house is |
an existing building, approximately
years old
a new-build - please proceed to section 3 |
| Is there an existing loft conversion ? |
yes |
| You have plans for |
an extension
a loft conversion
The building work will start
(month / year) |
| There will be |
changes to the plumbing
a new cylinder
a new boiler
Please proceed to section 4 |
|
| 3. New-builds only |
Please tick all boxes that apply
and send us your plans by post to the address below |
| The roof will go on |
(month / year) |
| The plumbing will be done in |
(month / year) |
|
| 4. The proposed roof |
Please tick all boxes that apply to
the best location for solar panels as identified by yourself |
| Roof covering |
slate
clay tile
concrete tile
stone
9" tile |
| Shading |
a lot of the day
part of the day
from tree
from structure
none |
| Gradient |
steep
gentle
flat |
| No. of storeys below the roof |
one
two
three |
| Orientation of proposed location |
north-west
west
south-west
south
south-east
east
north-east |
|
| 5. The heating system |
Please tick all boxes that apply |
| This section is a bit technical.
If you don't know the answers, don't tick any boxes and don't worry |
| The system includes |
underfloor heating
a range cooker (e.g. AGA)
a heat pump
a wood boiler
other
|
| The hot water storage (cylinder) is |
vented (un-pressurised)
un-vented (pressurised)
thermal store
none
approximatly
years old
located in
an airing cupboard
a walk-in cupboard
other
situated
on the ground floor
on the first / second floor
in the loft
in an outbuilding
|
Hot water is prepared by Help
|
a combi boiler
a system boiler
approximately
years old |
|
| 6. Next steps |
|
| The installation is required |
urgently
in the next 2-3 months
sometime soon, there is no rush |
| At this stage you require |
an estimate
a fixed price quotation (necessary for LCBP grant applications) |
| You would like to arrange |
Preferred days and times for visit / survey
|
|
| |
Click on the submit button to post this survey form to us by e-mail.
Provided you have supplied a valid e-mail address, you will receive
a confirmation e-mail.
Alternatively, print this form out and send it to us by post:
Sarum Solar Ltd, Units 14& 15, The Malverns, Cherry Orchard Lane,
Salisbury SP2 7JG
If you have any difficulties, call us on 0845 40 80 444 (local rate). |