First of all, I think it is great that there are many companies out there who look out for the customer and protect their interest. Secondly, I think it is also important that customers consider having their HVAC systems checked thoroughly before moving into a new home. I have heard a couple of horror stories where previous owners have not had the best housekeeping skills. Even when the appearance of the home seems it has been well kept, keep in mind that surface clean only goes so far. You can never tell what lies underneath.
Do not hire duct cleaners who make sweeping claims about the health benefits of duct cleaning — such claims are unsubstantiated. Do not hire duct cleaners who recommend duct cleaning as a routine part of your heating and cooling system maintenance. You should also be wary of duct cleaners who claim to be certified by EPA. Note: EPA neither establishes duct cleaning standards nor certifies, endorses, or approves duct cleaning companies.

Our heater went out last Saturday, which was a cold day.  Called a few different places and they were the only ones that called back.  The technician Tony came out and after a little testing said the main control board needed to be replaced.  He quoted us a total of $489 which seemed on the high side but it was cold and we were somewhat desperate, so we agreed and paid a parts deposit.
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.
On the other hand, if family members are experiencing unusual or unexplained symptoms or illnesses that you think might be related to your home environment, you should discuss the situation with your doctor. EPA has published the following publications for guidance on identifying possible indoor air quality problems and ways to prevent or fix them.
As one of the duct cleaners that do it right it disgusts me to hear the horror stories some of my past customers have had with the companies using scare tactics, bait and switch schemes, and just plain intimidation to make a fast buck. The Ductz franchise as a whole has gone behind other "duct cleaners" in the last year to the tune of almost three-quarters of a million dollars. All of this expense could have been avoided had the customers been able to do some background research before hiring. NADCA is a great organization and should be a minimum requirement for finding a duct cleaner. Other great questions include "How long does the service take?" (2 techs, 4-5 hours for a small house, 7-9+ hours for a two system house), "Do you clean the entire system including all trunk lines and the air handler (blower motor and evaporator coil)?", "How do you validate the job you have done?" (before and after picture reports work great). Beware of duct cleaners that say their process will solve all your air quality concerns. Duct cleaning is one of several steps to take to rid your home of unwanted dust, dirt, mold, and other allergens.
Important Tip: Don’t just pay attention to the high-end of the price range! – which is what I know you are all looking at, but also look at the low range. If a contractor is cheaper than this, ask “why?” Usually it is because they don’t have liability insurance, workman’s compensation insurance, are unlicensed, all of the above, or worst yet, they don’t use HVAC technicians. You are spending a lot of money.  Make sure that they are licensed (In California, check here at CSLB License Checker) and insured.
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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