Step 1 of 4 25% Account InformationName(Required) First Last Account #(Required) Email(Required) Phone(Required)Address(Required) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Why are you interested in a home energy usage inquiry?- Select -High Energy UseSave MoneyIs your home all electric? Yes No I don't know Including yourself, how many people live in your home? If you have outbuildings with power, tell us how many, if they are on a separate meter, and what they are used for. Home StructureAge of home(Required) Approximate Square Footage(Required) Is the home:(Required)- Select -Site BuiltTrailer/Mobile HomeModularApartmentDuplexFoundation Type(Required)- Select -Crawl SpaceBasementOther...Other Foundation Type Siding Type(Required)- Select -WoodVinylBrickOther ...Other Siding Type Siding Condition(Required)- Select -GoodFairPoorNot ApplicableInsulation(Required)- Select -FloorBasementWallAtticOther...Windows(Required)Single PaneSingle Pane with Storm WindowsDouble PaneOther...Other Type of Insulation Other Type of Windows Exterior Doors(Required)- Select -MetalWoodNumber of Exterior Doors(Required) LightingNumber of lightbulbs in home(Required) Number of CFL/LED lightbulbs in home(Required) Number of 4-foot fluorescent bulbs: Heating and CoolingWhat type of thermostat do you have?(Required)- Select -Non-programmableProgrammableWi-FISmartI don't knowOther ...Other Thermostat Type Summer daytime thermostat setting(Required) Summer nighttime thermostat setting(Required) Winter daytime thermostat setting(Required) Winter nighttime thermostat setting(Required) Type of Heat(Required) Electric baseboard Electric furnace Wood burner Geothermal Heat pump Gas/Propane/Fuel Oil Type of Air Conditioning(Required) Central Air Heat Pump Window Unit(s) - Refrigerated Window Unit(s) - Water Cooler None of the above Other... Other Air Conditioner Type Year heating system purchased(Required) Year cooling system purchased(Required) If window units are in use, how many? Are space heaters used?(Required) Yes No If space heaters are used, how many? Date heating system last serviced (mm/dd/yyyy) Month Day Year Date cooling system last serviced (mm/dd/yyyy) Month Day Year Condition of cooling system's outdoor coils- Select -CleanBlockedDamagedFilters replaced monthly? Yes No AppliancesWater Heater Type(Required)- Select -GasElectricWater Heater Size (in gallons)(Required) Water Heater Age(Required) Date water heater last drained of sediment? (mm/dd/yyyy)(Required) Month Day Year Range or Cooktop Type Type(Required)- Select -GasElectricClothes Dryer Type(Required)- Select -GasElectricNumber of refrigerators(Required) Number of freezers(Required) Well pump? Yes No If well pump is in use, provide its age, date of last inspection, and age of pressure tank. Check all the appliances in your household.(Required) Aquarium Ceiling Fans Electric Blanket Electric Golf Cart Electric Vehicle Hot Tub Pool Heater Pool Pump Sump Pump Tanning Bed Vehicle Block Heater Whirlpool Tub None of the above Do you have any additional information you'd like to share with us?NameThis field is for validation purposes and should be left unchanged.
