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GSLR
Questionnaire
Home Information
Please share some details about your home so we can better understand your needs.
Name
E-mail
Phone
Address
Do you own or rent your home?
OWN
RENT
How many people live in your home?
Why are you interested in our service?
HOME INFORMATION
Do your best to fill all of these out that apply to you
What are your biggest comfort problems in your home?
Do you have specific problems in your house you want us to look at?
Does your home already have solar?
Yes
No
How is your home heated?
You can choose multiple if you have them.
Central Furnace Forced Air
Electric Baseboard
Hot Water Baseboard
Boiler
Heat Pump
In-Floor Radiant
Gas Stove
Wood Stove
Other
Fuel for your primary heating system
Natural Gas
Fuel Oil
Propane
Electric
Wood
Other
Age (in years) of your primary heating system
How is your home cooled?
You can choose multiple if you have them.
Central Air
Window A/C
Swamp Cooler
Whole House Fan
None
None but want it
Age (in years) of your primary cooling system
How is your water heated?
You can choose multiple if you have them.
Tank
Tankless
Heat pump water heater
Other
Fuel for your primary water heating system
Natural Gas
Fuel Oil
Propane
Electric
Other
Age (in years) of your primary water heater
Foundation types
You may have more than one type. Choose more than one if you do.
Basement
Crawlspace
Slab
What percentage of your lighting is already efficient LEDs or CFLs?
0%
25%
50%
75%
100%
Do you work from home? If so, please describe your situation
Do you have detached buildings that are heated or cooled?
Heating
Cooling
Both
No detached buildings with heating or cooling
Do you have a hot tub?
Yes
No
Planning on getting one
Planning on removing one
What is your oven fuel?
Natural Gas
Electric
Propane
Other
What is your range fuel?
Natural Gas
Electric
Propane
Other
What is your dryer fuel?
Natural Gas
Electric
Propane
Other
What is the condition of your windows?
Terrible
Ok
Great
Some good, some bad
Vehicle Information
Do you have an electric vehicle?
Yes
No
If yes, do you charge it mostly at home?
Yes
No
Are you open to buying an EV?
Yes
No
Already have one
Thank you, your submission has been received!
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