formulier_lead_page_form | ConnectSpot Portal

The last steps to your quotes

What is your energy consumption?

kWh

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overzicht huis

Plaats zonnepanelen

Meterkast

Elektrameter

Overige foto's

What is the year of construction of your home?

voor 1935

tussen 1935 en 1975

na 1975

Ik weet het niet

What type of property do you have?

Appartement

Hoekwoning

tussenwoning

twee-onder-een-kap

vrijstaand

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overzicht huis

Spouwmuur

Spouw

Overige foto's

Insulation material:

Crawl space access present:

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overzicht huis

Vloer

Kruipruimte

Overige foto's

What do you want to place/replace ?
Fill in the amount that is needed

Kozijnen

Deuren

Schuifpuien

Which material do you want ?

Kunststof

Hout

Aluminium

Weet ik nog niet

Do you have a preference installation date ?

Binnen 1 maand

Over 1 tot 3 maanden

Over 3 to 6 maanden

Geen voorkeur

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overview house 1

Overview house 2

Detail kozijnen 1

Detail kozijnen 2

Other Photos

For which brand/type car is the charger?

Fill here another brand or type of car in

Do you want to be able to settle kWh for business?

Nee

Weet ik nog niet

Does it need excavation work?

Ja, inclusief herstellen bestrating

Ja, exclusief herstellen bestrating

Nee

Weet ik nog niet

Do you want a charger with a flexible or fixed cable?

Do you want a fast charger or a slow charger?

Do you have a 1 Fase or a 3 Fase electricity connection?

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overview house 1

Cupboard

Detail elektrameter

Location charger

Other Photos

Number of residents

Where is your watermeter?

Type of water softener:

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Photo place water softener

Photo watermeter

Detail cupboard meter

Other Photo's

Enter the desired dimensions of the dormer window.

Breedte cm

Lengte cm

Helling graden

Where do you want the dormer installed?

Color of the roof:

Material:

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overview house 1

Overview house 2

Detail dak 1

Detail dak 2

Other Photos

What kind of house do you have?
Type of house:

Insulation material:

Do you have a desired execution date?

Binnen 1 maand

Over 1 tot 3 maanden

Over 3 tot 6 maanden

Geen voorkeur

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Overview photo house 1

Overview photo house 2

Detail dak 1

Detail dak 2

Other Photos

Do you already have an asbestos inspection form?

Upload hear your asbestos inspection form

Which type of asbestos need to be removed?

Why does the asbestos need to be removed?

When does the asbestos need to be removed?

Additional information lead

Any additional information regarding this lead can be entered below

Adjustment:

Foto's

Plek asbest

Vermoedelijke plek asbest

Overige foto's

Heeft u een privé of zakelijk energiecontract?

Privé

Zakelijk

Wie is uw huidige energie leverancier?

Heeft u een vast of een variabel contract?

Vast

Variabel

Wat is uw huidige jaarverbruik?

Elektriciteit: kwh

Gas: m3

Wat is uw geboortedatum?

Foto's

U kunt hier foto’s uploaden van uw huidige energiecontract of jaarafrekening.