1. What is the age of your current boiler?

Less than 5 years5–10 years10–15 years15+ yearsI'm not sure

2. Do you or anyone in your household receive any benefits?

Yes – one of the aboveYes – another formNoI'm not sure

3. Which installation(s) do you need?

Boiler UpgradeFirst-time Central HeatingAir Source Heat PumpRoom-in-Roof / Loft InsulationInternal Wall InsulationHeating ControlsOther