Pre-Assessment Survey

* indicates required field

Do you own your home?*

Yes No

What type of home is it?*

Single Family detached
Condo or other multiplex
Manufactured or Mobile Home
Other

Approximately what year was your home built?*

How long have you owned your home?

How long do you plan to stay in your home?

How many people live in your home?*

What is the approximate square footage of your home?

What temperature is your thermostat usually set at in the winter

Is your dryer gas or electric?

gas electric

How many dryer loads per week?

Heat/AC Source*

Gas furnace, central AC
Gas furnace, no central AC
Gas boiler, no AC
Electric furnace, central AC
Electric furnace, no AC
Other

Name of utility or service provider for heating fuel? (e.g. Xcel Energy, Mutch Oil)*

Who is your electric utility? (e.g. Xcel Energy)*

What type of water heater do you have?

Storage tank style - electric
Storage tank style - gas
Tankless

Foundation

finished basement
unfinished basement
insulated crawl space
uninsulated crawl space
no basement

Have you added any insulation to your attic?

yes no

What improvements have you made since you bought the home? (e.g.new roof, new furnace or AC, kitchen or bath remodel, insulation, addition, etc.)

Check the boxes next to any of the following performance problems you have with your house:

high humidity
cold air drafts
frost on windows
stuffy air
mold and mildew

Check the box if any of the following apply:

Your home seems dry in the winter
There is condensation on your windows
You run a dehumidifier in the basement during summer
You feel that your home is dustier than it should be
You have ice dams on your roof during the winter
You have plans for home improvement in the future

For the following questions, rate your priority from 1 to 3 (3 being highest priority). Equalizing room temperatures in your home:

1 2 3

Reducing indoor allergens and dust / improving indoor air quality

1 2 3

Improving overall comfort level of your home:

1 2 3

Lowering your utility costs

1 2 3

Taking advantage of current rebates, incentives, tax credits and/or low interest financing options available:

1 2 3

Does anyone in your home suffer from asthma or allergy symptoms?

yes no

Do you have pets?

yes no

What is your age? (Optional)

18-34 35-49 50-65 Over 65

Additional Comments or Questions

Fill out my online form.

Recent Posts

Partnering with us

Our Location