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Off-grid (USA residential) Consultation Form by  OneHouseOffTheGrid.com's owner, Danny Tseng
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How did you learn of us or where did you see the link to this form? 

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First name that your property(ies) is/are listed under
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Last name that your property(ies) is/are listed under
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What language do your prefer to communicate in? (leave blank if English)
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What is your most frequently checked e-mail address to only send off-grid/net zero energy-related information and the free e-guides? (your email will NEVER be sold b/c we wouldn't ours to be!)
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What is your primary mobile phone number (so we can text you the estimated quotes for your requested off-grid, energy conservation/efficiency upgrades, and/or when your custom solar (with or without battery backup power) design & proposal is ready?)

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Social Media Profile/Account websites/screen names (OPTIONAL)
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What is your current employment status, occupation, job title or business role, and/or how do you earn a living?


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Who is your current employer(s) or what is your company, business’, or organization’s name?
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What is/are your goal(s)?  (select the best matching one)
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Do you own property, rent, or both?
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How many residential and/or commercial/industrial buildings do you own or co-own?
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If you own & live in your home, how long do you intend to own & live in it?  In other words, do you plan on selling it or moving out?
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What is the full street address; City/town/village, state, and zip code of the property that you want to be off-grid, (near) net zero energy, and/or have solar panels with or without battery backup power installed at?*
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What is your FICO credit score -- or other property owner's FICO score, if higher than yours -- if you’re not able and willing to pay all-cash (includes check and credit card) for solar and/or any energy efficiency upgrades? (OK to give your best guess)*

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Even if you’re a renter, on a scale of 0 to 10, how would you rate your desire/intention to reduce or eliminate your energy bills (by up to ~70% withOUT a single solar panel or wind turbine) by investing $ in some energy conservation and efficiency items and/or services?
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If you stated "9" or "10" to the above, how soon would you love to be more "green" by reducing your carbon footprint AND saving $ & energy withOUT sacrificing comfort, safety, health, nor much convenience?
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Approx. how much time have you spent looking around: Linktr.ee/OneHouseOffTheGrid?
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Have you watched the following video so you can virtually ELIMINATE the cooling part of your energy bill$?: tinyurl.com/SaveOnAC?

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Have your read the article, "How to Minimize Solar Heat Gain Through Your Windows? at: tinyurl.com/SavingMoneyThruYourWindows (log into Gmail, 1st, to view on Google Drive)
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What is the name of your electricity provider?
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Are you on a time-of-use (TOU) electric rate?
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Approx. how much $ do your MONTHLY electricity bills average from winter to summer? [just the electric service--or fuel and non-fuel -- portion NOT including all the taxes, fees, surcharges, assessments, or any late fees & interest)
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What is the name of your gas provider? (skip or write "N/A" if doesn't apply)
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Approx. how much $ do your MONTHLY GAS bills average from winter to summer? (skip or write "N/A" if doesn't apply)
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Check all the below that apply*:
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At what stage of your off-grid/net zero energy/solar+batteries purchasing process are you in?*
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Do you have a "smart" digital electricity meter or a non-communicating digital meter?

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If you have a swimming pool pump, what speed is it?
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If you have a pool pump, have you installed a pool pump timer and set it to run no more than ~8 hours/day?
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What type of HVAC (heating, ventilation, & air conditioning) system do you have?
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Approx. how many years old is your HVAC system?
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If you’re not willing and able to pay all-cash (includes credit/debit card, check, wire transfer), would you be willing to provide the following TO SEE IF YOU PRE-QUALIFY FOR $0-DOWN FINANCING?*:

1. Last 4 digits of Social Security Number (or full SSN if applying for PACE--Property-Assessed Clean Energy financing IF offered in your area)

2. Yearly, pre-tax, total verifiable household income

3. Monthly mortgage payment

4. Date of birth

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Any issues with your HVAC system like doesn't heat/cool well, leaks, etc.? Please state all known issues:
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What type of A/C thermostat do you have?
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Approx. what temperature (in Fahrenheit) do you set your A/C’s thermostat at in the winter and the summer months?

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Are your windows single-, double-, or triple-paned?
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Approx. how many years old are your windows?
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Do your windows have a low-emissivity coating on them?
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Are your windows weatherized? (Do they have weather-stripping around them to seal air cracks?)
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Are your doors weatherized? (Do they have a door sweep and/or weather-stripping on the sides to minimize air drafts?)
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Approx. how many recessed ceiling lights & fans, audio speakers, bathroom and/or kitchen exhaust fans, and/or any other ceiling/attic protrusions do you have?
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What type(s) of water heater(s) do you have?
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Approx. how many years old is/are your water heater(s)
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Does your water heater(s) feel hot or even slightly warm when you put your hand on the side of the tank?

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Approx. how many years old is your refrigerator and freezer?
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Do you have any extra refrigerator and/or (chest) freezers either in your building, in your garage, and/or outside like on a patio?  Please state the number of each and where located.
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If you use an electric clothes washer and/or electric tumble clothes dryer, approx. how many total loads per MONTH of EACH do you run?
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If you run your automatic dishwasher, do you use the heat booster mode and/or heat drying option?

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If you use your automatic dishwasher, on average, how many times do you run it per MONTH?
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Check all of the following that you have and use either once in a while, occasionally, or daily
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Check all of the following products and services that you want to INVEST in sooner than later:
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If you want a complimentary solar panel quote, how soon will you e-mail a crystal-clear, complete, and most recent copy of your electric bill along with the past 12 months worth of total kWh used to: OneHouseOffTheGrid@gmail.com?
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(answer only if you want roof-mounted solar panels) Choose the description below about your roof that best fits*:
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Anything else that would be very helpful for us to know and/or got questions about any of the above? 
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If you need to reach us, either email: dct3@cornell.edu, text: 305.297.9360 (slowest response), or call our landline # at 786.441.2727 and please leave a message should it go to voicemail.  THANK YOU!
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