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.
Duct cleaning has never been shown to actually prevent health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts. This is because much of the dirt in air ducts adheres to duct surfaces and does not necessarily enter the living space. It is important to keep in mind that dirty air ducts are only one of many possible sources of particles that are present in homes. Pollutants that enter the home both from outdoors and indoor activities such as cooking, cleaning, smoking, or just moving around can cause greater exposure to contaminants than dirty air ducts. Moreover, there is no evidence that a light amount of household dust or other particulate matter in air ducts poses any risk to your health.
Although i love to burn candles, depending on the type your asking for problems big ones! At work one day i had been talking with co workers about these black shadows that were appearing on my ceilings and higher wall areas. They seemed to in the corners and along the stud supports , i could even see what i thought to be where all had been nailed. There would be dark shadows perfectly straight across my ceiling and then real dark circels every few inches within the lines. I thought it was the propane heat but learned quickly that oil heat will do that but not normally propane. A co worker brought me a magazine with a huge article about candles and what actually burns off them when lit, an ashy soot that is attracted to the areas on walls and ceilings that omit the most heat or warmth, of course where the drywall and studs meet and corners of the room. Its been about 8 years since i painted the entire house. I started bending to my love for candles again in the last 3 years, surprise i will be spending part of my summer re painting again!! No more candles ,well maybe at the holidays LOL
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.
As for the price I think my review was fair in stating what value we got for what I deemed to be a slightly higher price than others might charge.  I did not take any stars off for the price, and still am not, but I am taking another star off because of Alberto's comments, which are deceptive and not the same thing he told me in person.  Alberto, I suggest you stick with the high road in the future.

Duct cleaning has never been shown to actually prevent health problems. Neither do studies conclusively demonstrate that particle (e.g., dust) levels in homes increase because of dirty air ducts or go down after cleaning. This is because much of the dirt that may accumulate inside air ducts adheres to duct surfaces and does not necessarily enter the living space. It is important to keep in mind that dirty air ducts are only one of many possible sources of particles that are present in homes. Pollutants that enter the home both from outdoors and indoor activities such as cooking, cleaning, smoking, or just moving around can cause greater exposure to contaminants than dirty air ducts. Moreover, there is no evidence that a light amount of household dust or other particulate matter in air ducts poses any risk to health.
Though this installation is not always complicated, it's best to work with an air conditioning contractor to ensure it's done correctly. Permits are usually required for this type of work and can be obtained by a state-licensed contractor. You should not attempt to install central air conditioning on your own since you need a license to handle the refrigerant chemicals (Freon) involved.
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