Top Load
Front Load
Washing Machine Type?
Number of People Currently Living in the Home.
Home Energy Audit Benefit Survey
Contact Name
Address 1
1 Story House
2 Story House
Home Size (sq-ft)
Total Annual Electric Bill $
Check all gas appliances in home.
Check here if you own a pool.
Pool Heater?
Contact Phone #
E-Mail Address
Comments (Include Any Comfort Issues)
Please submit form when finished, and we will contact you with information on the potential benefits of an energy audit for your home.
Address 2
City
State
Zip
None
GasWater Heater
Gas Oven/Range
None
Electric
Gas
Summer AC Thermostat Setting
The Form below is used to gather key elements about your home's energy features. An analysis will be performed on this data. We will advise the level of usefulness an energy audit would be for your home based on the information you submit to us. Thank you.
