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Home Performance with ENERGY STAR
Financing and Rebates
What We Do
Home Energy Assessment
Basement Insulation & Air Sealing
Crawl Space Retrofit
Improve Indoor Air Quality
Windows & Doors
Invest in Your Community
Please tell us a little about your home to help us prepare for your Home Energy Assessment.
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City, State, Zip
Phone - primary
Phone - alternate
Do you own your home?
What type of home is it?
Single Family detached
Condo or other multiplex
Manufactured or Mobile Home
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?
How many stories is 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?
How many dryer loads per week?
Gas furnace, central AC
Gas furnace, no central AC
Gas boiler, no AC
Electric furnace, central AC
Electric furnace, no AC
What is the primary energy source used to heat the home?
What is the secondary or backup heating source? (Optional)
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
insulated crawl space
uninsulated crawl space
Have you added any insulation to your attic?
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:
cold air drafts
frost on windows
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:
Reducing indoor allergens and dust / improving indoor air quality
Improving overall comfort level of your home:
Lowering your utility costs
Taking advantage of current rebates, incentives, tax credits and/or low interest financing options available:
Does anyone in your home suffer from asthma or allergy symptoms?
Do you have pets?
What is your age? (Optional)
Additional Comments or Questions
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We are located at: 1013 N 5th St, Grand Forks, ND 58203
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