| ZIP/Postal Code (Location of Request): *
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What is your primary motivation for getting a home energy audit? (Select All That Apply)
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Comfort
Home Inspection (for Realtors or Buyers)
Home Performance
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Energy Savings $$$
Health
Safety
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How old is your home?
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Do you own the property/home for this request?
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Yes
No
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If you own your home, how many years have you owned it?
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Please select any primary areas of concern: (Select all that apply)
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Furnace or Air Conditioning
Insulation
Gas Appliance Efficiency
Lighting
Energy Retrofit
Window Replacement or Upgrade
Hot or Cold Rooms
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Windows and Doors
Radon Concern
Indoor Air Quality
Carbon Monoxide
Solar Upgrade
New Construction or Addition
Green Remodel
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Please select all that apply to your home: (Select all that apply)
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My home has an attic.
My home has a crawlspace.
My home has a flat roof.
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My home is in a Radon Zone.
My home is a Mobile Home.
My home is has Radiant Heat.
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How many stories is your home?
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Enter the square footage of your home.
Note: small home = approx. 1500, medium = 2500, large = 3500
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Choose the appropriate status for this project: *
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When would you like this request to be completed? *
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Is this a small commercial location?
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Yes
No
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