Thank you for taking the time to help us improve our services.

All fields are optional, but a name or contract ID is needed for validating some fields

Privacy statement:
Any information collected and processed is treated with the utmost confidentiality.
We will not sell or rent out any personal information gathered.

Section A: About yourself  
Name:
Contract ID:
Your Age
Section B: About your home  
Approximate Year home was built example, 1940-1945 or 1999
Size of home
City
Section C: More About Us
Where did you hear about us
(Select all that apply using CTRL)
previous customer of ours? Yes   No
How would you rate our sales staff?
When's the first time you heard of Axis Heating
Section D: General Questions  
how many estimates have you or will you get before purchasing your products and or services:
 
which choice are you more concerned with when choosing a contractor

 
Which choice are you more concerned with when choosing an appliance Recognized Brand,   Efficiency,   Options (ex: sound, fan speeds, stages)
 
We are looking for a charity chosen by you to donate $1000.00 in 2009.
Which Charity would you donate to?
NOTE: Section A must contain Contract ID or Previous customers name to validate this entry.
 
Have you heard of the Goodman Brand Before? Yes  No
Have you heard of the RUUD Brand Before? Yes  No