One of the best ways to know if your ducts or vents need to be cleaned is to just check them. Your eyes will be able to check for indications of mold, dust or pollen buildup. You might also be able to smell the presence of mold, which would be a clear indicator. Ductwork will have some buildup of dust, since the return registrars pull air back in. However, this doesn't mean your ducts have too much debris, and you can easily clean them with a duster or vacuum.
Lennox, on the other hand, is probably the most expensive unit out there and I can’t stand them. In our (humble?) experience, they have a horrible logistics chain, making repair parts difficult to come by (sometimes taking weeks), poor customer service, and the parts cost three times as much. That’s not what this article is about, so read more in: Carrier vs. Lennox Furnace Review.
I did the $49.00 Groupon they just left. Basiclly all they did was stick a shop vac type hose into the vent supply and one return. I also had the dryer done. the person in charge pointed to the main return inside my humidifier and said it needed cleaning. I explained that I was in facility maintaince and would deal with it myself. After that they finished the vac and didn’t try any other sales pitch. I should have read the reviews before I bought this wast of money and time.
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.