NRG Awareness Custom Design Service Questionnaire

Plumbers Name

First Last

Phone

Email

Fax No

Fuel and Heating System

1. Type of Fuel

Oil - Kw/Btu	Gas - Kw/Btu	Solid Fuel - Kw/Btu	Ground Source - Kw/Btu	Other - Kw/Btu

2. Type of Heating System

Sealed	Open	Interconnection	Other

3. Domestic Hot Water (DHW)

Open	Pressurised	Indirect Solid Fuel	Combination Boiler

Please choose the pipework in each zone where applicable.

Zone (Z1)

Zone (Z2)

Zone (Z3)

Zone (Z4)

Zone (Z5)

Zone (Z6)

Zone (Z7)

Zone (Z8)

Zone (Z9)

Please choose the wiring in each zone where applicable.

Zone (Z1)

Zone (Z2)

Zone (Z3)

Zone (Z4)

Zone (Z5)

Zone (Z6)

Zone (Z7)

Zone (Z8)

Zone (Z9)

If other please specify

6. Domestic Hot Water Priority

7. Requirements

8. Sketch or Other Info

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