Energy and Utilities · EU-1056 · Form

Heat Pump Home Readiness Questionnaire

Heat pump readiness questionnaire: your house, current heating, rooms and comfort, and questions for installers, filled in before a survey. PDF and browser.

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2 pages. The A4 and US Letter files are laid out identically, so neither is shrunk to fit.

Print it and write on it

A4 58 kB US Letter 58 kB

Fillable PDF type and save

A4 196 kB US Letter 196 kB

Or no download needed

Fill it in online

The fillable versions have real form fields — open them in any PDF reader, type into them and save. Printing help.

Fill it in online

The same sheet, on screen. Tick, type, add or remove rows, then print it or download the completed version as a PDF. Everything stays in your browser — your entries are kept in this browser's own storage on this device, nothing is uploaded, and there is no account.

Who this is for

Everything an installer will ask about the house, answered before they arrive. The first page covers the building and the heating it has now, the second records how each room is used and heated and the temperature you want in it, and the last table holds your questions for each installer with their answers.

Homeowners thinking about a heat pump who want surveys and quotes to start from accurate information, and who want every installer to be given the same facts.

What this helps you track

The heating, hot water and fuel use you have now
Insulation, glazing, draughts and damp as far as you know them
Space for an outdoor unit and a cylinder, and the electrical supply
How each room is used, when, and the temperature you want
Your questions for each installer and the answers they gave

How to use it

Write the address, the type and age of the house and who filled the sheet in.
Answer each question about the house from what you know, your bills and any survey or energy report; tick Not sure rather than guess.
Go round the house filling the room table: what each room is for, when it is used, what heats it and the temperature you would like.
Give a copy to every installer before or at their visit, printed or from the browser version, which saves in your own browser.
Write each installer's answers to your questions in the last table, and carry them over to the quote comparison sheet.

Formats

Printable PDF (A4 and US Letter)
Fillable PDF with form fields
Fill in online, saved in your browser

The printable is laid out inside a box that fits both A4 and US Letter, so the two files are identical and neither one is scaled. The fillable PDF has real form fields. The online version keeps what you enter in your own browser and builds the completed PDF on your device.

How to print

Download the A4 or US Letter file to match the paper in your printer, open it in a PDF reader and print at 100% — not "fit to page", which shrinks the writing space. Both files leave a 14 mm margin, which clears the unprintable edge on home printers. To print the online version with your entries in it, use the Print this sheet button, which prints only the sheet and none of the page around it. More on printing.

Questions

What if I do not know an answer?

Tick Not sure and say what you do know. An installer will check on the survey; the point is to flag the gaps, not to fill them with guesses that might be repeated in a quote.

Why does it ask for the temperature I want in each room?

Because the design is worked out for the comfort you expect. Writing your own figure for each room, and when the room is used, gives the installer something to design for. The sheet suggests no temperatures.

Where do I find my yearly fuel use?

On your annual statement or by adding up a year of bills, in kWh or litres. For oil or LPG, the delivery records over a year give a rough figure. Write the unit next to the number.

Does the questionnaire say whether my home is suitable?

No. It collects facts; suitability is for an installer or assessor who has seen the house. The quote comparison sheet then helps you compare what each one proposes.