🌱 Eco-G House Customer Insights Survey
Help us understand your needs for sustainable living solutions! Your responses will help shape our energy, water, and waste solutions for eco-friendly homes.
📍 Section 1: Demographics & Living Situation
Your name (Optional)
First Name
Last Name
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
What type of residence do you live in (or plan to outfit with Eco G House solutions)?
*
Tiny House
Caravan / RV
Yacht / Boat
Floating home (on-water living space)
Traditional house
Other
Do you live in your residence full-time or part-time?
*
Full Time
Part Time
How many months per year do you stay in this residence?
Where is your residence located?
*
Please Select
Coastal (near ocean/seaside)
Lakefront / Riverfront
Inland (Urban/Suburban area)
Inland (Rural/Remote area)
Mobile (Frequent movement between locations)
How often do you relocate?
Please Select
Every few weeks
Every few months
Once or twice a year
What best describes your area's climate? (Select up to two)
*
Mostly sunny & dry
Mostly rainy & humid
Cold winters, warm summers (seasonal variation)
Mild climate year-round
Do you experience frequent water drainage or moisture problems?
Yes
No
Do you face extreme heating or cooling costs?
Yes
No
Back
Next
Save
🌍 Section 2: Sustainability Goals & Needs
What is your primary motivation for exploring eco-friendly living solutions? (Select up to three)
*
Lowering my energy costs
Reducing water consumption
Living a more sustainable, nature-friendly lifestyle
Becoming fully off-grid
Reducing dependence on public utilities
Better waste management and eco-friendly disposal
Other (Please Specify)
Which systems are you looking to make more sustainable or efficient?
*
Renewable Energy (electricity/power)
Water Conservation (water supply/usage)
Waste Management (waste disposal, recycling, composting)
Back
Next
Save
⚡ Section 3: Renewable Energy Solutions
What energy sources do you currently use for your home's power? (Select all that apply)
*
Grid electricity (mains power)
Solar panels
Wind turbine
Gas/Diesel generator
Battery storage (home battery backup)
Other (please specify)
Which energy solutions are you interested in adding or improving? (Select all that apply)
*
Solar PV panels
Wind turbine
Micro-hydro generator (if near running water)
Other (please specify)
What are the biggest challenges with your current energy system? (Optional)
Back
Next
Save
💧 Section 4: Water Conservation Solutions
How do you currently get your water supply? (Select all that apply)
*
Municipal water supply (city/utilities)
Well or borehole
Rainwater collection (e.g. tanks or barrels)
Delivered water (truck or bottled water deliveries)
Other (please specify)
Which eco-friendly water solutions interest you? (Select all that apply)
*
Rainwater harvesting system
Greywater recycling (reusing sink/shower water for irrigation, etc.)
Water-efficient fixtures (low-flow showerheads, dual-flush toilets, etc.)
Water filtration/purification (for self-supplied water)
Other (please specify)
Any specific water supply challenges or goals? (Optional)
Back
Next
Save
♻ Section 5: Waste Management Solutions
How do you currently manage household waste? (Select all that apply)
*
City waste collection
Composting
Recycling
Burning
Septic system
Other (please specify)
Which waste solutions interest you? (Select all that apply)
*
Composting
Advanced recycling
Biodegradable waste processing
Off-grid septic solutions
Other (please specify)
Any challenges with your current waste management? (Optional)
Back
Next
Save
💰 Section 6: Budget & Investment
What is your approximate budget for implementing sustainable solutions?
*
Under $1,000
$1,000–$5,000
$5,000–$10,000
$10,000–$20,000
$20,000–$50,000
Over $50,000
Would you invest more upfront for long-term savings?
*
Yes
No
Maybe
Back
Next
Save
📩 Section 7: Updates & Contact Info
Would you like to receive updates, tips, and offers from Eco G House?
*
Yes
No
Email
example@example.com
Save
Submit
Should be Empty: