Energy Check Pre-Audit Questionnaire
Please complete this form and we will give you a call to discuss.
Sign in to Google to save your progress. Learn more
Client Name *
Physical Address *
Phone Number *
Email Address
How long have you lived in the home? *
Year Built
Square Footage
Number of Occupants
Number of Bedrooms
House Type *
Additions? *
Stories *
Type(s) of Heating *
Required
Type of Fuel Used *
Required
Combustion (Gas. Oil or Propane) Appliances: *
Required
Foundation
Basement/Crawl Space Concerns
Attic
Attic Concerns
Window Concerns *
Required
Door Concerns *
Required
How did you hear about us? *
What is your primary motivation for getting a home energy audit? *
Required
Are there primary areas of concern? (Select all that apply)
Please let us know anything else you'd like to add to your home audit goals.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report