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Energy Awareness Survey
*1.
Do you own your home?
Yes
No
*2.
What types of housing do you live in?
Condominium
Co-op
Townhouse
Single-family home
Multi-family home
Other (please specify)
3.
Do you track your home’s monthly energy consumption?
Yes
Sometimes
No
4.
What energy bills do you pay for?
Electricity
Heating
Other (please specify)
None of the above
5.
Are you interested in installing renewable energy technology (such as solar panels) in your home?
Yes
No
I'm not sure
6.
What is your gender?
Female
Male
7.
What is your age group?
Under 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or above
8.
What is your contact information?
Name
Address
Address 2
City/Town
State
Zip Code
Email
Phone
9.
Do you have any other comments, questions, or concerns?
Thank you for taking this survey.
Thanks for your time! We're sorry you don't qualify for this survey.
 
 
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