I am NADCA Certified Air Systems Cleaning Specialist. Over the year I have learned on simple answer to this questions: there air duct cleaners and there are pretenders. There will be no benefit at all if you use on the very cheap pretender because they will not really clean anything. On the other hand if you call a qualified air duct cleaner with a NADCA Certification you will, like 99% of my customers, report improvement with your respiratory problems, you will see less dust and the job will pay for itself with energy savings and repair prevention.
You can adjust for seasons: During the summer, you can have the air conditioner stay off during the cooler morning hours and start cooling the house as everyone gets up and starts moving around. During the winter, you can have your heater stay off while you are away at work and turn on about a half hour or so before you get home so that you are coming home to a nice, warm house.
If your non metal ductwork is that dirty you should just have it replaced AND sealed. Also most duct systems are not very well designed. Look for proper sizing and do not go cheap with one or two intakes (return grills) You need them through-out the house. Here in Austin the duct cleaners are carpet cleaners and chimney swifts. (this is who the duct cleaning equipment mfgs call on when the hvac people do not get on board. They DO clean other types of ductwork and we (the hvac guys) have to fix them. I am not aware of any of these non hvac guys cleaning and servicing the actual equipment. Here in Texas it is against the law for them to do so. Treat the entire house as a system, not just the ductwork and /or hvac equipment. Home performance really does work to increase comfort and air quality while reducing operating costs.
Deciding if central air is worth the cost depends on your needs and local housing market. If you live in a hotter climate, it can definitely be worth the price. Not only can it keep your home at a comfortable temperature, but air conditioning can even save lives during extreme heat waves. But in a milder zone without severe temperatures, window units, fans or the breeze from an open window could be adequate.
I hope that those customers you have with breathing problems don't follow your advice too closely. You are doing them a disservice. Dirt in your ducts does not always stay there, depending on what the contaminants are. I bet you tell your customers not to worry about mold either- just to kill it with bleach. Educate yourself before opening your mouth- You may kill someone someday with your opinion.

1. Ducts need cleaning mostly because they were not installed properly. There should be regulatory inpection and approval of clean and proper duct works on new houses. I was extremely unpset when I looked and found significant amounts of construction dust in parts of the ducts in my new house. There is apparently no way to hold the bullder to be responsible for clean ducts.
ISO 16813:2006 is one of the ISO building environment standards.[31] It establishes the general principles of building environment design. It takes into account the need to provide a healthy indoor environment for the occupants as well as the need to protect the environment for future generations and promote collaboration among the various parties involved in building environmental design for sustainability. ISO16813 is applicable to new construction and the retrofit of existing buildings.[32]
Ok what you said is true but in most cases ducts are in a duct flex format, and knowing that the dust in people's flex duct is just surface dust, any real debris that are in the duct itself will result in very little to no air flow which will keep your unit from performing properly, but if it is true allergy reasons then replacing your duct system is better for overall better air quality, plus if you do pay attention to the warranty on flexible duct is that it only has a 10 year warranty and typically only lasts for 20 years so do your research before having a duct cleaning, and to add one more thing if your duct work is completely metal and you can't see visible insulation then your duct on the inside has insulation inside of it, if you replace that with duct work that is clean metal on the inside and wrapped with insulation on the outside then it will further reduce the air bourne fiberglass and dust.
I own a small mechanical company. My main work is service and system replacements. I have never been a believer in duct cleaning. The company I worked for before had our duct man come out and do my house. I saw no difference. Preventive maintance is what I recomend. Remove fan and clean, seal fan compartment to prevent dust from being pulled in, filters I install media filters, they are 5″ thick and pleated. I have tested them to make sure static presure was not a issue. Heat exchangers and AC coils need to be cleaned. I will tell you this to do a good cleaning I usually spent 1-2 hrs, When I’m finished I would not have a problem eating my diner on the system. Good filters, clean system and properly tuned up are my recomdation to anyone. I’ve included my email feel free to contact me with any questions. winkcfd@yahoo.com
This is to Blueberry who.wrote.about home rental dust problems on 12/ 06/2016. If you’ve been there 13 years.your landlord has made enough money to have those problems repaired.I would call your city property standards dept. And let them know what.conditions you are having to live.There is no excuse for living in those conditions when most problems like that are easy fixes.Especially if your kids are getting sick. Tell your landlord your.calling City Health Inspector if he doesn’t fix.the problems.
In addition, the service provider may propose applying chemical biocides, designed to kill microbiological contaminants, to the inside of the duct work and to other system components. Some service providers may also suggest applying chemical treatments (sealants or other encapsulants) to encapsulate or cover the inside surfaces of the air ducts and equipment housings because they believe it will control mold growth or prevent the release of dirt particles or fibers from ducts. These practices have yet to be fully researched and you should be fully informed before deciding to permit the use of biocides or chemical treatments in your air ducts. They should only be applied, if at all, after the system has been properly cleaned of all visible dust or debris.

In some older homes, there was a grey Mylar flexible duct. After years of use, it started to decompose. A duct cleaning company can come out and find why your air is so dirty and why your building doesn’t heat or cool like it used to. This is a savings on your part. You could also be sucking in Hot, dirty attic air. However, sometimes when a duct cleaning company comes out to clean it, the old duct can be destroyed and have to be replaced. Someone with little experience can replace this ductwork but if it isn’t done right it can ruin a lot of things and cost a lot in repairs.
Moisture can enter the duct system through leaks or if the system has been improperly installed or serviced. Research suggests that condensation (which occurs when a surface temperature is lower than the dew point temperature of the surrounding air) on or near cooling coils of air conditioning units is a major factor in moisture contamination of the system. The presence of condensation or high relative humidity is an important indicator of the potential for mold growth on any type of duct. Controlling moisture can often be difficult, but here are some steps you can take:
An air conditioning system, or a standalone air conditioner, provides cooling and humidity control for all or part of a building. Air conditioned buildings often have sealed windows, because open windows would work against the system intended to maintain constant indoor air conditions. Outside, fresh air is generally drawn into the system by a vent into the indoor heat exchanger section, creating positive air pressure. The percentage of return air made up of fresh air can usually be manipulated by adjusting the opening of this vent. Typical fresh air intake is about 10%.
I'm very glad that I found another guy to come replace the circuit board and put it away from the water, fix the water leak, and also find and fix another impending failure.  All of that was for much less than HVAC Service wanted to charge for repair or replacement. The other guy did a great repair, so I'm confident it will not break down again, but if it does, I will not call HVAC Service. Don't get suckered by their Yelp Deal.
My heat pump/hvac system is not blowing cold air anymore, got checked out was told compressor broken. was told it cost  almost the same to repair/replace they recommend whole system. It's the same company that installed it 18 years ago, telling me that system is old and it will cost $9-10k for new system, because furnace has to be replaced with new hvac. what to do, need answers thanks????
Wiring up the thermostat is usually pretty straightforward if an old one is being replaced. If a thermostat is being put in where one had never been before, that could involve running new wiring. The placement of the thermostat is also important so that its sensors can get an accurate reading of the temperature. A thermostat that is blocked by a bookcase or other large furniture will not get a good reading and will not perform efficiently.

A little simple math can help determine the size system you need. A rule of thumb is 20 BTUs per square foot. So, a 500 square foot room would need 10,000 BTUs to cool or warm it efficiently. This assumes that you live in a temperate region and have adequate insulation with no energy loss. In the real world, all units have some degree of energy loss. This is reflected in an HVAC system's SEER rating for cooling and AFUE rating for heating.

I replaced all the ducts but the trunks in my 1969 home when I replaced the horizontal furnace under the house with a gas pack. I got advice from a friend who was an HVAC contractor. I was surprised to find the trunks and other ducts very clean. I replaced the individual runs with flex primarily for the insulation. I wrapped the trunks with insulation also.
Heaters are appliances whose purpose is to generate heat (i.e. warmth) for the building. This can be done via central heating. Such a system contains a boiler, furnace, or heat pump to heat water, steam, or air in a central location such as a furnace room in a home, or a mechanical room in a large building. The heat can be transferred by convection, conduction, or radiation.
If you don't agree with duct cleaning, fine. If there are some things that HVAC people can do to make the system need cleaning less often fine, but to suggest that I need to GO TO JAIL????? If you need to knock others to make yourself look better....... If duct cleaning is such a scam, why are their governing bodies like NADCA (which I do NOT belong to),several manufacturers of equipment, and national restoration franchises (I'm not a franchise either) who provide this service? I guess the whole world is stupid and only HVAC people are smart. I suppose I am scamming them when I clean puff backs, water damage, fire damage, and clean their carpets too? Or did I wake up one morning and say "ya know, it is great to be a hard working, honest owner operator, but I would love to provide a service that unlike everything else I do is a con and rips off the 90% referral business I busted my butt to earn"
i got angies list deal for 109 air duct clenaing, dryer vent cleaning, and furnace inspection, {healthy duct cleaning} i call the company, they arrive on time. did excellent service what ever i purches i got. they give me furnace inspection and the told me that my furnace is very dirty and they offer me to clean that for 250 extra. i paid and i am very happy from this service. i try before 2 diffrent company that i got deal from them as well the just give me estimate and don’t even do the job. so guys don’t spend time if you need deep cleaning just cal this guy the offer free estimate as well.
If you believe that the AC's not working or you're getting little or no cold air, check these three things first. Make sure all the registers in the house are wide open. Then be sure the furnace filter is clean. Then go outside and clean off the condenser coils (Photo 2). If several registers were closed or the filter was clogged, the reduced airflow could have caused the evaporator coil to ice up and stop cooling your home. If you've changed the filter and opened all the registers and you're still not getting airflow at the registers, deice the A-coil. Move the thermostat mode switch from “Cooling” to “Off” and move the fan switch from “Auto” to “On.” Let the blower run for at least 30 minutes or until there's good airflow at the registers. Then turn the AC back on to test it. If it works for the next 12 hours, you've solved the problem.