How long have you been a customer? Over 10 years Over 5 years Over 2 years Less than 2 years Please rate the following: The way we handle your phone calls Excellent Good Fair Poor The way our technicians respond to your service needs Excellent Good Fair Poor The way our drivers make your deliveries Excellent Good Fair Poor Ease of paying bills Excellent Good Fair Poor Are you happy with the programs we offer? Yes No Do you have a service plan with us? Yes No Who provides your equipment service if we don't? Would you like us to follow up on any problem, question or issue now? How likely are you to recommend us to a friend, colleague or family member? 1 2 3 4 5 6 7 8 9 10   TO HELP US UNDERSTAND YOUR HOME COMFORT NEEDS, PLEASE COMPLETE THE FOLLOWING ITEMS: (If you are unsure, use your best guess.)   My heating system is Less than 10 years old Over 10 years old Over 20 years old Do you have a central a/c system? Yes No My central a/c system is Over 20 years old Over 10 years old Less than 10 years old My water heater is fueled by Oil Electricity Natural Gas Propane Please contact me about (check all that apply): Automatic payments from my bank (EFT) The EZ Pay budget program Replacing my water heater A heating service plan An a/c service plan Improving my indoor air quality A central air system tune-up for summer Replacing my fuel tank Replacing my a/c system A new oil heating system Tax credits and discounts for equipment upgrades YOUR INFORMATION:   Full Name * Address City State Zip Code Phone Number * Best Time to Call 7AM - 9AM 9AM - 11AM 11AM - 1PM 1PM - 3PM 3PM - 5PM E-mail * We'd love to hear from you! Please use the space below to share additional comments/questions, or tell us about your own experiences with Burch Oil. Message Please type the correct verification code in the text box provided *