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This questionnaire will serve as basic information for the selection of an appropriate type and performance of the heat pump. Choice answers with a cross mark or add a numeric value.

Heat pump to be used for (mark more than one)

Heating the house
Heating the building for business
Heating / tempering Property
Solar system for hot water
Solar system for heating and hot water
Cooling object
Warming hot water
Pool water heating
Heat loss of the object (if known)	kWh
Annual energy consumption for heating	kWh/year or m³/year (LTO, propane)
Size of space for heating	m³
Vytápěná plocha (plocha všech pater)	m²

The heating system

Name	Existing	The planned
underfloor heating 43/38 °C
radiators 55/45 °C
radiators 90/70 °C
other (please specify):

Bivalent (optional) heat source

Name	Existing	The planed
additional power
convector
storage tank
boiler to propane
natural gas boiler
boiler to wood
other (please specify):

The average water temperature in the system at the current heating during the heating season

°C

Considered the heat pump (system gain of heat)

Country - water (borehole)
Country - water (surface collector)
Air - water

To save the collector heat pump available to me

m² land

I want to use a heat pump to heat the water in the pool with these parameters

pool	outdoor	indoor
use pool	yearlong	seasonal
volume of water in the poo	m³
the pool area	m²
desired water temperature in the pool	°C

Your suggestions and comments

Contact details

Name and surname *
Street *
Location (postcode) *
Phone/fax *
GSM - phone *
E-mail *

Thank you for interest in heat pump. As soon as possible we will quote you and propose a technical solution that would be ideal for you and appropriate.

Kontakt

TOP HEAT s.r.o.
Hvozdecká 1364/21
635 00 Brno – Bystrc

+420 608 720 720
+420 530 507 463

info@topheat.cz
info@nizkenaklady.cz