This questionnaire is around 30
questions long and will ask you
about your home and the way your
household consumes energy.
Be as accurate as you can when
answering the questions.  If you do 
not know the exact answer to a
question make the best possible
guess.  Keep in mind that the more
accurate your responses are, the
more beneficial the energy
improvement suggestions will be.

Note - Some questions may be
skipped depending on your answers.
What temperature do you set your
thermostat at during the summer?

Enter the temperature in degrees
Fahrenheit, then tap the enter
key. 

The enter key looks like this.

            ΔΩ





What temperature do you set your
thermostat at during the winter?

Enter the temperature in degrees
Fahrenheit, then tap the enter
key.

The enter key looks like this.

           ΔΩ





During the winter do you set your
thermostat to a lower temperature
at night?

Answer  Y for Yes
  or    N for No









How many trees or shrubs do you have
planted around your house to form a
windbreak or shade screen?

A - Several trees or shrubs.

B - A few trees or shrubs.

C - No trees or shrubs.






Do you have drapes or shades that
you can open or close on all of
your windows?

Answer  Y for Yes
  or    N for No









How well do the draperies fit over
the windows in your home?  Do they
have an insulating lining?

A - Well fitted with lining.

B - Well fitted with no lining.

C - Poorly fitted with lining.

D - Poorly fitted with no lining.




Do you feel a draft around any of 
the doors or windows in your home?

A - All doors and windows are well
    sealed.
B - One or two doors or windows
    have minor drafts.
C - Many of the windows or doors
    have drafts.




  

When the temperature permits, do you
use windows for natural air
ventilation rather than turning on
the fan or air conditioner?

A - Often use natural ventilation.

B - Seldom use natural ventilation.

C - Never use natural ventilation.





Do you know the R value of the
insulation in your attic?

Answer  Y for Yes
  or    N for No










What is the R value of the
insulation in your attic?

A - R 20 to R 40 insulation

B - R 14 to R 19 insulation

C - R 6 to R 13 insulation

D - None to R 5 insulation





Do you know the R value of the
insulation in your walls?

Answer  Y for Yes
  or    N for No










What is the R value of the
insulation in your walls?

A - R 14 to R 20

B - R 9 to R 13

C - R 4 to R 8

D - none to R 3





Do you have an evaporative cooler or
an air conditioner?

A - Air Conditioner.

B - Evaporative Cooler.

C - Both.

D - Neither (do not need cooling).





How often to you change your air
conditioner's filter?

A - Every month.

B - Every two to three months.

C - Every year.






    
Is the outside compressor for your
air conditioner shaded from the sun?

Answer  Y for Yes
  or    N for No










Is your hot water equipped with an
extra insulating blanket? 

Answer  Y for Yes
  or    N for No










At what temperature is your hot
water heater set?

A - Don't Know

B - Over 120 degrees F.

C - At or below 120 degrees F.







Do you have a solar hot water
heating system?

Answer  Y for Yes
  or    N for No










Do your family members take short
showers or use small amounts of
water for tub baths?

Answer  Y for Yes
  or    N for No









Do you have a fireplace?

Answer  Y for Yes
  or    N for No











Does your fireplace have glass
doors?

Answer Y for Yes
  or   N for No










Do you keep the damper closed on
your fire place when it is not in
regular use?

Answer  Y for Yes
  or    N for No









Do you cover your pots and pans 
while you are cooking?

Answer  Y for Yes
  or    N for No










Do you ever broil or toast food
with the oven door open?

Answer  Y for Yes
  or    N for No










Do you have a toaster or toaster
oven for cooking small meals?

Answer  Y for Yes
  or    N for No










Do you have a Microwave oven?

Answer Y for Yes
  or   N for No











Do you have a dishwasher?

Answer  Y for Yes
  or    N for No











When do you start your dishwasher?

A - After every meal.

B - Once a Day.

C - Only with a full load of dishes.

D - Usually wash dishes by hand.






Which drying cycle do you use
on your dishwasher?

A - Air dry.

B - Heat dry.









Do you have a washing machine?

Answer  Y for Yes
  or    N for No











Do you only wash full loads of
laundry?

Answer  Y for Yes
  or    N for No










What temperature do you usually use
when washing your clothes?

A - Hot water.

B - Warm water.

C - Cold water.







Is the door seal on your
refrigerator in good condition?

Answer  Y for Yes
  or    N for No










When you open the refrigerator
you do which of the following?

A - Get several items at once so
    you won't have to go back.

B - Get one item at a time and
    make several trips.

C - Stand there with the door open
    until you can decide what to
    eat.









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