Sample HomeVIEW™ Survey

HomeVIEW™ Home Energy Analysis

Saving energy in your home is one of the easiest things you can do to protect the earth. The answers you provide to this questionnaire will be saved for your future use if you return here on other occasions. It may be convenient to print out the questions before completing the survey.

Do you have questions or comments about this HomeVIEW™ demonstration? Fill out our Information Request form or e-mail marketing@viewtechfinancialservices.com.

To save energy, you need to understand where you're using it. By analyzing your answers to this questionnaire, we will provide you with a customized report detailing where you are using energy in your home, and recommendations for how to save both energy and money! Let's take a walk through your home.

About Your Home

Please enter your e-mail address.

What is the nearest location to your home (or the location with the closest weather conditions)?

How many people live in your home, including you?

How old is your home?

Describe your home's construction.

type of building
square footage (excluding all unheated or uncooled space)
number of floors
foundation/floor construction
wall construction
number of outside walls ("common" walls are not outside walls) Example: 1 outside wall - apartment with 1 exterior wall. 2 outside walls - center unit of triplex with 2 exterior walls. 3 outside walls - duplex with 3 exterior walls. 4 outside walls - typical single family home.
ceiling/roof construction

Describe your home's insulation.
(note: R-value should be insulation only, do not include the building construction of ceiling, walls, or floor. Slab edge insulation should be entered as floor insulation.)

attic R-value	Insulation conversion chart (inches of insulation to R-rating)
wall R-value	1"=R6	2"=R9	3"=R11	4"=R13	6"=R19
floor R-value	8"=R22	9"=R25	10"=R30	12"=R38	16"=R49

How drafty are your windows and doors?

How many windows of each type do you have in your home?

single pane only
single pane w/storm windows
double or thermal pane
triple pane

How many of each type of exterior door do you have?

wood
wood with storm
metal
metal with storm
metal thermal
glass

Heating and Cooling

Enter your thermostat settings if different from the displayed values.

	Summer	Winter
Day	°F	°F
Night	°F	°F

Describe your heating systems.

	Primary	Secondary
system type
fuel type
# of portable heaters
age	yr.	yr.
frequency of use during heating season Months used during the 6 month season Never - not used Rarely - used 1½ months Sometimes - used 3 months Often - used 4½ months Always - used all 6 months

Describe your cooling system.

system type
age	yr.
frequency of use during cooling season Months used during the 6 month season Never - not used Rarely - used 1½ months Sometimes - used 3 months Often - used 4½ months Always - used all 6 months

Water Heating

Describe your water heater.

type
size (gallons)
age	yr.
temperature setting	°F
insulating wrap
solar assisted

Describe your water and laundry usage.

number of low-flow showerheads
dishwasher loads run in an average week
clothes washer loads (hot water setting) run in an average week
clothes washer loads (warm water setting) run in an average week
clothes washer loads (cold water setting) run in an average week
type of clothes dryer
clothes dryer loads run in an average week

In the Kitchen

Describe your refrigerator(s).

	Refrigerator #1	Refrigerator #2
type
defrost
size
age	yr.	yr.

Describe your freezer(s).

	Freezer #1	Freezer #2
type
size
age	yr.	yr.
location

What type of range/oven do you use?

How many meals do you cook on your range/oven in an average week?

breakfast
lunch
dinner

How many minutes do you use a microwave oven per week?

Lighting

How many average hours per day is each of the following light bulb types used inside your home? If there is more than one bulb, add the hours together.

incandescent
spot
standard fluorescent
compact fluorescent
quartz halogen

How many average hours per day is each of the following light bulb types used outside your home? If there is more than one bulb, add the hours together.

incandescent
flood
mercury vapor / high pressure sodium
malibu yard / walk lights

Pool

Describe your spa/pool.

	Spa	Pool
location
type
size
heated by
heating solar assisted
frequency of use in summer
frequency of use in winter
cover used regularly
hours per day pool sweep runs
spa connected to pool
insulation level
temperature control

Other Uses

Please read through the following list and indicate the average hours per week each type of appliance is used. If there is more than one appliance in a category, add the hours together.

Television(s)
VCR(s)/stereo/radio(s)
Home computer
Large workshop equipment
Well pump(s)
Sump pump
Whole house fan(s)
Ceiling fan(s)
Portable fan(s)
Humidifier(s)
Dehumidifier(s)
Waterbed heater(s)
Electric blanket(s)
Gas lights
Gas logs

Bills

Enter your utility bills for the past year. This information can be supplied to you by your utility company. This section must be completed to provide you with an analysis of your home's energy use. If you enter all 12 months of utility bills, the results of your energy analysis will be adjusted by your actual cost. If you do not enter all 12 months, the results of your energy analysis may not match your actual cost.

	Electric Cost	Gas Cost
January
February
March
April
May
June
July
August
September
October
November
December