Solar Energy Interest Survey

Sign Up for a Mass Save Home Energy Assessment
Name (as it appears on the utility bill)*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Preferred Phone Number*

Area CodePhone Number
Primary Heating Fuel*
Heating Fuel Provider*
Have you had a Home Energy Assessment with the past 2 years?*

YesNo
Please contact the provider that performed the original assessment. You can view a list of providers on the MassSave website.
Do you currently receive a discount or assistance rate with either utility?*

YesNo
Please visit the Income Eligible Programs listing on the MassSave website.
How many units are in your residence?*
Please go the Multi-Family Retrofit Program page of the MassSave website to request your Home Energy Assessment.
E-mail
Approximate Square Footage
Optional
Age of Home
Optional
Do you own or rent?
Optional
Are there any specific concerns that you would like to address?
Optional
How did you hear about the program?
e.g. mailer, email, banner, etc.
Should be Empty:

Sign Up for a Mass Save Home Energy Assessment