Contact Information
Name
First Name
Last Name
Email
example@example.com
Address
Street Address
Street Address Line 2
City
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Texas
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Vermont
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West Virginia
Wisconsin
Wyoming
State
Zip Code
Phone Number
Please enter a valid phone number.
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Home Information
Please provide the following details about this residence:
Square footage
Year Built
Levels (including basement)
Bedrooms
Only include the bedrooms, as it would be listed for sale.
Bathrooms
Include 1/2 baths as (.5)
Own or Rent?
Own
Rent
Primary Residence or Rental Property?
Primary Residence
Rental Property
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Operating Systems
Let's get an idea of what utilities are being utilized at this property!
Does this home have Electricity and Gas?
Electricity and Gas
Only Electricity
Is there Gas available at the house?
Yes
No
I'm not sure
Type of gas:
Natural gas
Propane
Oil
Gasoline powered generator
Other
Is the gas being used to heat this home?
Yes
No
Partially
Is there a Fireplace / Bio-mass stove?
Yes
No
Is it a Wood Burning (Bio-mass) -or- Natural Gas?
Wood Burning
Natural Gas
Type of Natural Gas
Natural Gas
Propane
Oil
Other
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Utility Bills
Please provide the following information regarding your Monthly energy bills! We utilize local data to see how much your energy providers are charging per unit, and create a personalized portfolio tailored to your home!
Summer-Time Utilities
Utility costs may look different depending on the season! Please provide accurate numbers for your initial report!
What does a typical Electricity bill look like in the summer?
What does a typical Gas bill look like in the summer?
Winter-Time Utilites!
Utility costs like heating or gas can be much higher in the colder months! Please provide accurate numbers to best suite your initial report!
What does a typical Electricity bill look like in the winter?
What does a typical Gas bill look like in the winter?
Water / Sewage
What does a typical Water Bill look like?
Does your water bill account for sewage as well?
Yes
No
I'm not sure...
What does a typical sewage bill look like?
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Large Appliances
Certain appliances are major energy consumers, while others have a lighter impact. Below are some of the key systems that account for the highest energy consumption—and the greatest potential savings!
What powers the Range / Cooktop?
Gas
Electric
Gas/Electric Dual
How old is the Range/Cooktop?
Input into the box what year this unit was first installed.
Is the Clothes Dryer gas or electric?
Gas
Electric
How old is the Clothes Dryer?
Input into the box what year this unit was first installed.
What type of Water Heater is istalled?
Gas Water Heater
Electric Water Heater
Tankless Water Heater (Electric)
Tankless Water Heater (Gas)
Solar Water Heater
Heat Pump Water Heater
Other
How old is the Water Heater?
Input into the box what year this unit was first installed.
How many fridge and/or storage freezers do you have?
1
2
3
None (I'm a caveman)
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Air Conditioning
Your current HVAC system could be responsible for 10-40% of your utility costs. An outdated or inefficient system may be driving up these expenses significantly. Potentially upgrading to a more efficient model can make a substantial impact, helping you avoid unnecessary costs while keeping your property comfortable and running at its best.
Primary Source of Air Conditioning
What source of AC does this home primarily rely on?
What source of Air Conditioning do you rely on the most?
Central AC
Ductless Mini Split
Window Unit
Heat Pump AC
Portable Unit
There is no Air Conditioning at this home
Other
Is your primary Air Conditioning source in operating order?
Yes
No
How old is the unit?
Input into the box what year this unit was first installed.
Secondary Air Conditioning
Please include your second most utilized source of AC.
Source of Secondary Air Conditioning!
Central AC
Ductless Mini Split
Window Unit
Portable Unit
Heat Pump AC
I only have 1 source of Air Conditioning
Other
Is your secondary Air Conditioning source in operating order?
Yes
No
How old is the unit?
Input into the box what year this unit was first installed.
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Primary source of Heating
What source of Heat does this home primarily rely on?
What source of heat do you rely on the most?
Natural Gas Furnace
Electric Furnace
Propane Furnace
Oil Furnace
Heat Pump Furnace
Fireplace / Bio-mass stove
Gas Boiler
Radiant Floor Heating / Baseboard (Including wall cadet heaters)
Space Heaters
Wood Pellet Stove
Portable Oil Heaters
None (I'm cold...)
Other
Is your primary source of heat in operating order?
Yes
No
How old is the unit?
Input into the box what year this unit was first installed.
Secondary Heat Source
Please include your second most utilized source of Heat.
Source of secondary Heating:
Natural Gas Furnace
Electric Furnace
Propane Furnace
Oil Furnace
Heat Pump Furnace
Fireplace / Bio-mass stove
Gas Boiler
Radiant Floor Heating / Baseboard (Including wall cadet heaters)
Space Heaters
Wood Pellet Stove
Portable Oil Heaters
I Only Have 1 Source of Heat
Other
Is your secondary heat source in operating order?
Yes
No
How old is the unit?
Input into the box what year this unit was first installed.
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Lighting
LED lighting only accounts for roughly 2% of an average home's electrical utility bill! Big savings are found elsewhere, but it's always good to be sure that a home's lighting is up to date!
Does this property have LED bulbs throughout ALL lighting fixtures?
Yes
No, only partially
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Home Insulation
The quality of a home’s insulation can significantly impact heating and cooling costs, often accounting for 25-40% of these expenses. Ensuring effective insulation is crucial to maximizing energy savings and keeping utility bills in check
Do you know what type of insulation is installed in the walls?
Yes
No
What type?
Fiberglass Batt
Blown-In Fiberglass
Blown-In Cellulose
Mineral Wool
Spray Foam
Rigid Foam Board
None
Other
Do you feel that the insulation in the Walls is adequate?
Yes
No
Do you know what type of Insulation is installed in the attic?
Yes
No
What type?
Fiberglass Batt
Blown-In Fiberglass
Blown-In Cellulose
Spray Foam
Rigid Foam Board
Mineral Wool
None
Other
Do you feel that the insulation in the attic is adequate?
Yes
No
Do you know what type of insulation is installed in the floors?
Yes
No
What Type?
*
Fiberglass Batt
Blown-In Fiberglass
Blown-In Cellulose
Spray Foam
Rigid Foam Board
Mineral Wool
None
Other
Do you feel that the insulation in the floors is adequate?
Yes
No
Is your property subject to any of the following conditions? Select all that apply.
Cold or Hot walls
Drafts in the rooms
Fluctuating temperatures / Hard to maintain temperature
No Airflow
Humidity / Moisture
No, my home is perfect...
Other
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Windows and Doors
An inefficient window can waste up to 40% of the HEAT or AC generated in your home! Having an efficient window can make or break your approach to maximizing savings!
How many windows are at this residence?
What type of windows are installed?
Single Pane
Double Pane
Tripple Pane
I don't know, but they're glass...
Other
Do any of them leak, have a cloudy tint to them, or are hot/cold to the touch?
Yes
No
How many are subject to these conditions?
How many entry doors?
NOT including garage doors, pet doors, or any other doors.
Type:
Wood
Fiberglass
Glass
Other
Are any of these Windows or Doors are older than 1975? Some manufacturers used lead paint in these processes.
Yes
No
I'm not sure
How many?
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Major Home Systems
Major home systems include roofing, solar, battery storage, EV charging capabilities and more! Let's see what we're working with!
Does this property have solar installed?
Yes
No
How many KW is the solar system?
IF you don't know, then leave this question blank.
Does this solar array produce enough electricity to cover the FULL electrical utility bill?
Yes
No
Only in the summertime
How interested are you in solar?
I'd like to know more about it
I plan to install Solar, but I just haven't yet...
Not interested at all
Do you own an EV/or a Plug-In Hybrid EV
Yes
No
No, but I plan to in the future
Does this property have EV charging on site?
Yes
No
I'm not sure...
What level charger is it?
Level 1
Level 2
Idk, I'm not into that stuff...
Does this home have a backup generator or a generator outlet?
Backup generator (Permanant Install)
Generator Outlet
No
Other
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Goals & Motives
What is your primary motivation for exploring Renewable Energy Incentives for this property? Please share your goals so we can tailor our recommendations to best meet your needs.
Select all that apply:
Reduce energy consumption / lower monthly utility bills
Increase home comfort and livability
Increase home value
Maximize our savings by utilizing rebates and incentives!
Select all that apply:
Upgrade systems as soon as we purchase
Establish a game plan for remodeling
Maximize our savings by utilizing rebates and incentives!
Are there any specific areas of your home that you're most Interested in upgrading?
Heating & Cooling
Windows & Doors
Insulation & Air Sealing
Solar Power
EV Charging Capabilities
Appliances
Roofing
Other
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