Who is filling out this survey
Please Select
Customer/Self
Family Member
CSR
Name of CSR
First Name
Last Name
Name
*
First
Last
Enrollment Number
Contractor
Please Select
MAAC
Staples
CUI
Please select company that installed measures
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime Phone Number
*
Format: (000) 000-0000.
Email
*
How would you rate your overall satisfaction with our services?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How likely are you to recommend this program to friends and family?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Did the installer explain how the measures being installed would help save energy?
Yes
No
Did the contractor(s) appear professionally?
Yes
No
Did the contractor explain what they were installing?
Yes
No
Did the contractor treat the property with care and clean up after their work?
Yes
No
Was your home weatherized in a reasonable amount of time?
Yes
No
How satisfied were you with the performance and quality of the energy-efficient improvements installed in your home?
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Please Provide Us Feedback From Your Assessment
Would you like to be contacted by a Program Manager regarding your feedback?
Yes
No
Reply To Address
Submit
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