COVID-19 — Heating and Cooling

All our technicians are following strict COVID-19 rules. In order for us to be able to attend we require that you complete and return the form below ASAP. This will remain confidential whilst ensuring your safety and that of our employees.

Name

First Name

Last Name

Address

Phone

Email

Do you have any flu like symptoms, such as fever, cough, sore throat or shortness of breath?

Yes

No

Have you been in close contact with someone who is a confirmed case of Covid-19?

Yes

No

Have you recently travelled overseas (within the last 3 weeks)?

Yes

No

If yes, to any of the above please be advised at this time we are unable to attend to your home. We are happy to reschedule your appointment at a convenient time 14 days after all the answers are No

I confirm all information provided is correct at the time of completing this form