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?
   1990 to present 1980 to 1989 1970 to 1979 1960 to 1969 1950 to 1959 1940 to 1949 1930 to 1939 1920 to 1929 1910 to 1919 1900 to 1909 before 1900
   
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

12. 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
    
13. Are your walls insulated? Yes No
    
14. Are your floors insulated? Yes No
    

Window & Doors

15. On a windy day, which best describes the amount of air leakage around your windows?
    Very drafty
    Moderate air movement
    No draft
    
16. What is the condition of your door's weatherstripping?
    Poor
    Average
    Good
    
17. 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
    
18. Which one of the following best describes the type of exterior doors in your home?
    Hollow wooden
    Solid wooden
    Insulated metal
    
19. Do you have a storm door? Yes No
    

Ducts & Sealing

20. 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

21. 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

22. 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

23. Do you use a programmable thermostat? Yes No