All of you have dentists, you have doctors, you have preachers, you have mechanics. You don’t have to know everything about everything but you have to have people in your life that you can trust. Don’t just open up the phone book and pick a mechanical (HVAC) contractor. Call your friends and family and ask for referrals. There are no black and white (scam or not a scam) answers here.
If not properly installed, maintained and operated, these components may become contaminated with particles of dust, pollen or other debris. If moisture is present, the potential for microbiological growth (e.g., mold) is increased and spores from such growth may be released into the home's living space. Some of these contaminants may cause allergic reactions or other symptoms in people if they are exposed to them. If you decide to have your heating and cooling system cleaned, it is important to make sure the service provider agrees to clean all components of the system and is qualified to do so. Failure to clean a component of a contaminated system can result in re-contamination of the entire system, thus negating any potential benefits. Methods of duct cleaning vary, although standards have been established by industry associations concerned with air duct cleaning. Typically, a service provider will use specialized tools to dislodge dirt and other debris in ducts, then vacuum them out with a high-powered vacuum cleaner.
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.
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.

HVAC System Quality Installation Contractor Checklist -- This checklist identifies all of the steps the contractor has taken for the Energy Star Certification and identifies what work the contractor has done. If the system is later modified, this checklist can help identify what was done to proper Energy Star specifications and what was added later that may not meet the requirements.
I was told that 15 out vents would be cleaned and one main vent. the guy came over and gave me an estimate of $500. I had acquired a groupon for $49. the guy said just doing the out vents and one main vent would accomplish nothing. Now I am in dispute with the groupon people for a refund which they won’t give and have to go ahead and waste the money and let them do it. Is their doing the 15 outvents and one main one going to accomplish anything?
Duct system installation and repairs affect HVAC installation cost. If you’re installing a new forced air heating or cooling system, your home must have ductwork – if you don’t have ducts installed, a new duct system will need to be designed and installed. Your existing duct system may require air sealing to eliminate air loss, helping your new heating and cooling system operate efficiently.
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When central air conditioning service fails during a heat spell, you may have to wait days for an HVAC repair technician or an ac contractor to show up, and you'll probably pay at least several hundred for the repair. But if you're comfortable working around electricity and are willing to spend about $50 on parts, you can probably repair your air conditioning service yourself in about two hours and save about $225 on parts markup and labor.
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