Customer Evaluation APHP Customer Sales Evaluation Customer Information Customer and onsite evaluation details. Customer Name * Customer Name First Name First Name Last Name Last Name Customer Address * Customer Address Customer Address Customer Address City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal Customer Phone * Customer Email * Evaluation Date * Company Representative * Company Representative Email * Pool Heating & Cooling Goals Pool conditions, intended use, and customer comfort goals. Primary Pool Goal * Heat the Pool Cool the Pool Heat & Cool the Pool Not Sure / Needs Recommendation Desired Pool Temperature * Current Pool Temperature * Pool Volume (Gallons) * Pool Surface Area (Sq. Ft.) * Pool Cover * No Cover Solar Cover Automatic Cover Other Cover Desired Swimming Season * Extend Spring & Fall Swim Most of the Year Swim Year-Round Not Sure / Needs Recommendation Typical Pool Use Family Recreation Exercise / Lap Swimming Entertaining Relaxation Children / Grandchildren Multiple / General Use Existing Pool Equipment Current pool heating, circulation, filtration, and automation equipment. Existing Pool Heating Equipment * No Existing Heater Gas Heater Electric Resistance Heater Existing Heat Pump Solar Pool Heating Other / Not Sure Pool Pump Type * Variable Speed Pump Single Speed Pump Two Speed Pump Not Sure Pool Filter Type * Cartridge Filter Sand Filter D.E. Filter Not Sure Pool Automation / Control System * Pentair Jandy Hayward Other No Automation Not Sure Electrical & Installation Requirements Electrical capacity, equipment location, plumbing, access, and installation requirements. Electrical Service Available * 200 Amp Service 400 Amp Service Other / Not Sure Electrical Panel Breaker Space * Space Available No Space Available Requires Electrician Evaluation Not Sure Electrical Distance to Heat Pump (Ft.) * Plumbing Distance to Heat Pump (Ft.) * Heat Pump Installation Location * At Existing Pool Equipment Near Existing Pool Equipment Side of House Behind House Other / To Be Determined Heat Pump Pad * Existing Pad Available New Pad Required Equipment Slab Available To Be Determined Equipment Access * Easy / Open Access Limited Access Gate or Narrow Access Difficult Access To Be Determined Installation Clearance * Adequate Clearance Limited Clearance Obstruction Requires Correction Alternate Location Recommended To Be Determined Evaluation & Recommendation Final installation observations, recommended Madimack heat pump, and customer next steps. Installation Notes Recommended Heat Pump Model * Madimack InverTITAN 90 Madimack InverTITAN 112 Madimack InverTITAN 140 Further Evaluation Required Recommendation Notes Customer Next Step * Ready for Proposal Needs Time to Consider Wants Financing Information Follow-Up Requested Not Ready to Proceed Follow-Up Notes COMPLETE EVALUATION If you are human, leave this field blank. Δ
