Homeowner Questionnaire - Go Electric AZ

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Fill out this form to provide more information about the house and your desired outcomes from electrification. - Step 1 of 5

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Name *

First

Last

Email *

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

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Describe your home style/type, e.g., ranch, etc. How many living levels? Year built?

How many sq ft of heated/cooled area?

Do you have any current comfort issues, e.g., uneven heating/cooling or uneven room temperatures, hot/cold spots or drafts, etc?

Has your home had an energy audit? If so, when was it conducted? By whom? In person?

What were the findings, i.e., what actions were recommended?

Have you completed or do you plan to complete these actions?

Yes
No
Some

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What is your current heating fuel, e.g., natural gas, propane, electricity?

How is heated and cooled air distributed in your home? Ducted or non-ducted? If ducted, are all rooms serviced by ducts?

Do you have a programmable thermostat and use it to conserve energy?

Does your home currently have central A/C?

What is the age of your existing system? Is it functioning well?

What temperature do you typically set your thermostat? Do you set it back at night?

How urgent is your need to replace your current heating/cooling equipment?

Low
Medium
High

What fuel is used for domestic hot water, e.g., gas, propane, electricity?

What is the age of your existing water heater?

How urgent is your need to replace your current water heater?

Low
Medium
High

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How important is minimizing the changes to the aesthetics of your home?

Most important
Somewhat important
Least important

How important is minimizing ongoing heating/cooling costs?

Most important
Somewhat important
Least important

How important is minimizing the upfront cost of new system?

Most important
Somewhat important
Least important

How important is reducing emissions?

Most important
Somewhat important
Least important

Do you plan an addition or major renovations or changes to room layout/configuration?

If yes, please briefly describe.

How long do you plan to stay in this house?

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If you know, what is the current electric service to your home [typically 100A – 200A]?

Do you have or plan to add solar photovoltaic panels to your home? If so, how much?

How many vehicles do you have of each type (gas car, EV, bike, ebike, other)? How do you think this might change in the foreseeable future?

Do you have access to heating and electric fuel bills for one or more recent years and are you willing to share this information with your coach?

Any questions or concerns not already covered in this questionnaire? Any other guidance that you would like to provide?