Building
Glazing
and Insulation
Heating
and Power
Renewable
Technology
Lighting
and Appliances
Water
Use
Energy
Spend
About your home
What type of property do you live in?
House
Bungalow
Maisonette
Flat
About your home
What is the arrangement of residences around your home?
Detached
Semi-Detached
Mid-Terrace
End-Terrace
Enclosed Mid-Terrace
Enclosed End-Terrace
About your home
When was your property built?
Before 1901
1901-1929
1930-1949
1950-1966
1967-1975
1976-1982
1983-1990
1991-1995
1996-2002
2003-2006
2007+
Don't Know
About your home
How many rooms in total does your home have, including kitchen and bathrooms?
1
2
3
4
5
6
7
8
9
10
11
12+
About your home
What type of roof do you have?
Pitched
Pitched Thatched
Flat
Other Dwelling Above
Pitched / Flat Combination
Window Glazing
How many external windows do you have?
1-4
5-8
9-12
13-16
Window Glazing
What percentage of these windows are double glazed?
100%
75%
50%
25%
None
Don't Know
Window Glazing
If you do not have 100% double glazing, what percentage are secondary double glazed?
100%
75%
50%
25%
None
Not Applicable
Don't Know
Door Glazing
How many external doors do you have, including patio doors?
1 or 2
3 or 4
5 or 6
6 or 7
Door Glazing
How many of these doors are double glazed?
None
Some
All
Don't Know
Loft Insulation
Do you have roof insulation, if so, how thick is it?
None
Up to 4 inches / 10cm
Up to 12 inches / 30cm
Over 12 inches / 30cm
Unknown
Cavity Wall Insulation
What type of walls do you have?
Stone
Solid Wall
Cavity Wall
Timber Frame
Don't know
Cavity Wall Insulation
Have your walls been insulated?
Yes
No
Smart Meter
Do you have a mains gas supply?
Yes
No
Smart Meter
What is your Electricity Meter type?
Standard Meter (single rate)
Economy 7 (dual rate)
Smart meter
Boiler Type
How do you heat your home?
Combi Boiler
Condensing Combi Boiler
Standard Boiler
Storage Heaters
Fan Heaters
Solid Fuel (Wood)
Solid Fuel (Coal)
Other
Heating System
How old is your heating system?
10 Years or more
Less than 10 Years
Heating Controls
Do you have any heating controls?
No Heating Controls
Timer, with up to 1 room thermostat and/or TRVs
Timer, more than 1 room thermostat and/zone control
Heating/House Temperature
What temperature (in degrees °C) do you keep your house at?
Under 16 degrees
17/18 degrees
19/20 degrees
21/22 degrees
23/24 degrees
25/26 degrees
Over 27 degrees
Unknown
Boiler Service
Do you service your boiler and heating annually?
Yes
No
Water Heating
How do you heat your water?
Main Heating (feeds tank)
Immersion (tank)
Combi boiler (instantaneous)
Biomass Boiler
Water Cylinder Insulation
What sort of insulation do you have on your water cylinder?
I don't have a Water Cylinder
No Insulation
Factory fitted foam
Cylinder jacket
Solar Power
Do you have any solar panels installed?
No
Solar PV
Solar Thermal
Solar PV and Solar Thermal
Wind Power
Do you have a wind turbine?
Yes
No
Ground Source Heat Pump
Do you have a ground source heat pump?
Yes
No
Lighting
What percentage of light bulbs in your home are low energy?
0%
25%
50%
75%
100%
Appliances
How many fitted large appliances do you have (fridges, freezers, ovens, dishwasher, washing machine, etc)?
1/2
3/4
5/6
7/8
9+
Toilets
What sort of flush do you have on your toilet?
High cistern with pull flush
Low level cistern with handle flush
Low level cistern with button flush
Rainwater Harvesting
Do you have any rainwater saving devices?
Yes
No
Showers/Baths
How many baths do you have in your home?
0
1
2
3
4
5
6
Showers/Baths
How many showers do you have in your home?
0
1
2
3
4
5
6
Green Energy Supplier
Do you use a green energy provider?
Yes
No
About You
Tell us about your energy use
Your details
*
How much do you spend/use on
electricity per month / per year?
£
Kw
per Month
per Year
*
How much do you spend/use on gas
per month / per year?
£
Kw
per Month
per Year
Name:
Address:
*
Postcode:
*
Email:
Telephone:
Fields marked
*
are required
