PERSONAL INFORMATION

First Name*

Last Name*

Business Name

Email Address*

Phone Number*

POOL INFORMATION

Pool Address*

Pool built by

Is the pool domestic or commercial use? DomesticCommercial

Is the pool inground or above ground? IngroundAbove ground

Pool dimensions

Length

Width

Height

Does the pool have any waterfalls? NoYes

Enter m2 of Surface area:

Does the pool have any infinity edges? NoYes

Enter m2 of Surface area:

Does the pool have a cover? NoYes

Type Of CoverBubbleThermalSlatted ClearSlatted Solid Colour Time you take the cover off during the coldest swim month Time you put the cover on during the coldest swim month

Pool Colour?* LightDark

How many people will use the pool per day?

Pool Type

Is the pool indoor or outdoor?* IndoorOutdoor

Pool room Length:Width:Height:Pool room construction:*Well InsulatedNormal Brick Veneer EtcDoes the room have heating?*NoYesEnter Set Temperature Is there any shading on the pool?*Never ShadedMinor Shading (25%)Major Shading (50%)Is the pool affected by wind? ShelteredNormal SuburbanHigh Wind

What temperature would you like the pool to maintain?

Does the pool have an existing heating system? NoYes

Heating System GasElectricSolar

To estimate your pool heating running costs EvoHeat need to confirm your energy costs. Please select and complete one of the options below: Energy Costs* If you are unsure of your general tariff rate below is a general tariff after discount guide. Please note: this is a rough guide only, for your accurate general tariff rate please refer to your energy bill. QLD: 24c per k/W, NSW: 25c per k/W, VIC: 26.6c per k/W, ACT: 22c per k/W, SA: 35c per k/W, WA: 25c per K/W, TAS: 30c per k/W General tariffUnsure – Please Use Average General Tariff Rate For My State check boxes

Select the hours the heat pump can operate (24 hours): 24 Hours and Day/Evening (7AM To 10PM) check boxes 24 HoursDay/Evening (7AM To 10PM)

Do you have a spa connected to the pool by the same filtration/spillover system? NoYes

LengthWidthDepth

Do you have a separate spa pool that you wish to heat? NoYes

LengthWidthDepthWater temperature required for this spa?

Message/Comments:

Pool Evaluation Form