Really interesting the hear (ho, ho) about experiences with noise levels - we are also in a quiet rural area and have throttled back the fan speed to get noise to an acceptable level. Domus/Nuaire installation targets were met (Domus designed, supplied and commissioned the system. Our very good plumber installed the pipework to spec). Although I suspect they are not used to working with domestic premises - despite the name - the flow rates had to meet BR and the noise levels were within spec. No flexible pipework in the system and we went for 2 fans instead of one to keep fan speed down rather than running near the limit - still noise limit for bedroom is 30dB which is loud! Especially loud after the unit failed - I'm looking forward to getting the new fan installed. I managed to pick up some Domus attenuators on Ebay so these will go in as well when the new unit is installed.
On the cooling theme - definitely worth considering A/C if last summer is going to be typical - but as people say, you can always open the windows.