Home Energy Survey

The first step in taking control of your home energy costs!
Most of the questions below are not required, but the more you can answer, the more complete picture we will have of your home with a better opportunity to improve its energy efficiency and your comfort.

BASIC HOME INFORMATION

 
What is the approximate age of your home? (years)
 
What type of heating do you have (select all that apply)?
Heat PumpElectric BaseboardCeiling Cable HeatFurnace or BoilerWood/Pellet/Biomass StoveOther
 
What is the approximate age of your primary heating source?
 
Do you have any moisture problems? YesNo
 
If yes, please provide a brief summary of the problem:
 

HOME COMFORT

 
Is your home drafty? YesNo
 
If yes, please provide more detail:
 
Rate the comfort of your home in the winter on a scale of 1 to 10 (10 = extremely comfortable, 1 = extremely uncomfortable)
Tell us more if you like:
 
Rate the comfort of your home in the summer on a scale of 1 to 10 (10 = extremely comfortable, 1 = extremely uncomfortable)
Tell us more if you like:
 
Is there a significant temperature difference between floors and rooms?
YesNo
Tell us more if you like:
 

HOME USE & UTILITY COSTS

 
How would you use your home differently if it were more comfortable? This is your opportunity to describe the home you want:
 
Rate your level of satisfaction with your utility costs on a scale of 1 to 10 (10 = extremely satisfied, 1 = extremely unsatisfied)
Tell us more if you like:
 
What would you do with the extra money if you could reduce your utility costs by 20-30% or more?
 
Do you have any other concerns or goals related to your home that would be helpful for us to know?
 

YOUR CONTACT INFORMATION

After pressing send, please make sure you receive verification of successful form submission by scrolling to the bottom of the screen. If you do not receive the verification message, please make sure all required fields are entered, or email us at info@envinity.com.

 
Full Name:*
 
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Phone:*
 
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