PPL Wrap Energy Audit

1
Please list the first and last name on your MET-ED account.* This field is required.
First Name
Last Name
2
Birthday* This field is required.What is you date of birth?
Date
Year
Month
Day
3
Household * This field is required.How many household occupants?
4
Household Income* This field is required.What is the household annual gross income?
5
Phone Number* This field is required.What is the best number to reach you
Please enter a valid phone number.
6
Is texting on your phone ok ?* This field is required.We understand phones and voicemails and that sometimes it just makes sense to text first.
YESNO
7
ARE YOU A HOMEOWNER OR RENTER* This field is required.LANDLORD CONSENT FORMS MUST BE SIGNED AND DISCUSSED WITH YOU PRIOR TO OUR APPOINTMENT.
Please Select
Please Select
YES
NO
I AM NOT A RENTER
IF YOU RENT, HAS YOUR LANDLORD SIGNED A CONSENT FORM?
8
Does anyone in the home have any allergies or sensitivities we should be aware of?* This field is required.*That may be impacted by the installation of energy saving or weatherization materials
Please Select
Please Select
No
Yes
9
Choose Style Of Home* This field is required.Please select all that apply
Apartment
Mobile or MFG home
1 or 2 story home
Row or Townhome
Basement
Crawlspace below
Built on slab
Attached garage
10
Uncontrolled Moisture* This field is required.Do your home have any of the following issue?
Basement or crawlspace
Roof leaks
None at this time
Mold or mildew
11
PLEASE DESCRIBE THE WATER, MOLD OR MILDEW* This field is required.ROOFS / BASEMENTS / CRAWL SPACES / BATHROOMS / WITH RAIN / ETC:
In your opinion, how severe is this?
12
Do you use any dehumidifiers in your home?* This field is required.They remove water vapor from the air.
Not at this time
Yes we do
We think we should
13
How do you heat your water?* This field is required.Please choose the image that looks most like your water heater.
Electric hot water
Gas (LP) hot water
Heat pump hot water
Hot water from boiler
On-demand
14
Do you have any hot water issues?* This field is required.Shortages, Leaking, Rusting
Please Select
Please Select
No
No, but it's old
Yes, running out quickly
Yes, its rusty or leaking
Choose
15
What is your MAIN HEAT ?* This field is required.OVER 50% IS USED TO HEAT
Electric Baseboard Heating
Electric Heat Pump
Electric Space Heater(s)
Propane Heat
Oil
Utility Gas
Pellet, Wood or Coal Stove
Fireplace
16
What OTHER types are ALSO used for HEATING * This field is required.Choose as many as applicable, if they are in use
Electric Heat Pump
None
Electric space heater(s)
Propane heater(s)
Oil
Utility Gas
Pellet, Wood or Coal stove
Fireplace
17
What percentage of your home's heat comes from the OTHER(S) you selected?* This field is required.It's OK to not slide (if you don't)
18
Where do you feel drafts during the winter?* This field is required.*Breezes or Daylight are present during the heating season
My windows
Exterior doors
Coming up from the basement or the crawl space
I'm not sure OR I don't really feel any
19
What areas are excessively cold?* This field is required.Select areas that you consider excessively cold during heating season.
Finished Basement
First Floor
Second Floor
Other
20
Where is your attic hatch located?* This field is required.Please note that if your kWh usage or job type warrants access, I will to inspect the zone(s)
My attic hatch is small and in a closet
My attic hatch is in a hallway
Stairs pull down to access my attic
I have a walk up attic with built stairs
I'm not sure / It's complicated
21
How many loads of laundry are washed and dried each week?* This field is required.*If your home has an electric hot water heater
Enter 0 if you don't have an electric hot water heater
22
What setting or temperature do you normally wash laundry in?* This field is required.*If your home has an electric hot water heater
Please Select
Please Select
Cold / Cold
Warm / Cold
Hot / Cold
Dont answer if you don't have an electric hot water heater
23
What additional information would you like to share to help me understand your home and electricity usage?* This field is required.*One day prior to our appointment I will retrieve the last 365 days of your electricity usage to separate your heating from your "everyday" or base load usage. Please note that your feedback is very important.
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: