First Name
Last Name
Email
Phone
Street
City
State/Province
Zip
On a scale of 1-5, how would you rate your current knowledge about heat pumps?
--None-- 1 (minimal) 2 3 4 5 (very high)

Do you already have a preferred home heating/air conditioning contractor?
--None-- Yes No

If Yes, what is the name of your preferred contractor?
On a scale of 1-5, how likely are you to proceed with a heat pump project?
--None-- 1 (not at all likely) 2 (not very likely) 3 (somewhat likely) 4 (very likely) 5 (certain to proced)

How did you hear about Comfort365?
--None-- Boulder County City of Boulder Community Group / Club Direct Mail Social Media (Facebook, Twitter) NextDoor App EnergySmart Website

Are you interested in receiving quarterly sustainability updates from the County?
--None-- Yes No