Energy Audit of Your Home

General Information

 Please input your information below and one of our Comfort Specialist Representatives will contact you soon.

Name:
Phone:
Address:
City:
State:
Zip:
E-mail:


Please enter the general information requested below so your comfort specialist can quickly assess your needs.

  1. Which of these fuels do you use in your home?
    Electric
    Natural gas
    Propane
    Fuel oil
    Wood

     
  2. Do you own or rent your home? Own Rent
     
  3. What year did you move into your home?
     
  4. What type of home do you have?
    Single-family detached
    Townhouse/Condominium
    Apartment/Duplex
    Mobile/Manufactured Home
    Other
     
  5. What is your home's construction type?
    Wood Frame
    Steel Frame
    Other
     
  6. Including yourself, how many people live
    in your home?
     
  7. Select the statement that best completes this sentence: "Someone is home... "
    all of the time
    most of the time
    some of the time
    not at all
     
  8. What is the heated/cooled square footage of your home?
    Less than 1,000 sq. ft.
    1,000-1,499 sq. ft.
    1,500-1,999 sq. ft.
    2,000-2,499 sq. ft.
    2,500-2,999 sq. ft.
    3,000-3,499 sq. ft.
    3,500-3,999 sq. ft.
    4,000-4,499 sq. ft.
    4,500-4,999 sq. ft.
    5,000 sq. ft. or more
     
  9. What year was your home built?

     
  10. How would you describe your home's foundation?
    Slab on grade
    Enclosed crawl space (no foundation vents)
    Open crawl space (has foundation vents)
    Full basement
     
  11. On average, at what temperature do you set your thermostat?
    Summer
    Winter
     

Insulation

  1. What is the level of insulation in your attic?
    Poor (0"-3" of insulation)
    OK (3"-6" of insulation)
    Fair (6"-9" of insulation)
    Good (9" of insulation)
    Excellent (10" of insulation and over)
    Unknown
     
  2. Are your walls insulated? Yes No
     
  3. Are your floors insulated? Yes No
     

Window & Doors
 

  1. On a windy day, which best describes the amount of air leakage around your windows?
    Very drafty
    Moderate air movement
    No draft
     
  2. What is the condition of your door's weatherstripping?
    Poor
    Average
    Good
     
  3. Which one of the following best describes the type of windows in your home?
    Single pane - without storm windows
    Single pane - with storm windows
    Double pane - without storm windows
    Double pane - with storm windows
    Triple pane - without storm windows
    Triple pane - with storm windows
     
  4. Which one of the following best describes the type of exterior doors in your home?
    Hollow wooden
    Solid wooden
    Insulated metal
     
  5. Do you have a storm door? Yes No
     

Ducts & Sealing

  1. What is the condition of your ducts? (Your ductwork, in the attic, basement,or crawl spaces, is the piping that carries the heated and cooled air from your unit to all of the rooms in your home. The ducts should be covered with insulation, and the joints should be taped.)
    Poor
    Average
    Good
    Unknown
     

Air Conditioning

  1. What is your main source of cooling?
     
    Central electric A/C
    Geothermal heat pump
    Air source heat pump
    Dual fuel heat pump
    Electric window/wall A/C     		Evaporative cooler
    Central gas A/C
    Other
    None
     

Space Heating

  1. What is your main source of heating?
     
    Gas furnace (forced-air) without a pilot light
    Gas furnace (forced-air) with a pilot light
    Gas furnace (hot water) with a pump
    Gas boiler
    Gas space heater (wall)
    Gas space heater (floor)
    Dual fuel heat pump
    Electric furnace (forced-air)     		Geothermal heat pump
    Air source heat pump
    Electric baseboard or wall units
    Ceiling cable
    Electric thermal storage
    Other
    None
     
  2. Do you use a programmable thermostat? Yes No
     

 

     
 
 

221 West Cedar Street Sequim, WA 98382  Email: comfort@airfloheating.com