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Home Energy Audit
Service Request
Please Describe Your Needs Below
ZIP/Postal Code (Location of Request):
*
What is your primary motivation for getting a home energy audit? (Select All That Apply)
Comfort
Home Inspection
Energy Savings $$$
Healthy Living
How old is your home?
Please Choose One
Less than 5 years
5-10 years
11-15 years
16-20 years
21-30 years
30-40 years
40-50 years
More than 50 years
Don't know
Please select any primary areas of interest: (Select all that apply)
Furnace or Air Conditioning
Insulation
Gas Appliance Efficiency
Lighting
Energy Retrofit
Window Replacement or Upgrade
Windows and Doors
Attic Space
Indoor Air Quality
Carbon Monoxide
Solar Upgrade
New Construction or Addition
How many stories is your home?
Please Choose One
One story
Two stories
Three stories or more
Enter the square footage of your home.
Note: small home = approx. 1500, medium = 2500, large = 3500
Choose the appropriate status for this project:
*
Please Choose One
Ready to hire
Planning and budgeting
When would you like this request to be completed?
*
Please Choose One
Timing is flexible
Less than 1 week
1-2 weeks
3-4 weeks
5-6 eeks
Is this a commercial location?
Yes
No
Do you own the property/home for this request?
Yes
No
Name:
City:
Phone:
Email:
Briefly Describe Your Project.