What is the level of insulation in your attic?Poor (0"-3" of insulation) OK (3"-6" of insulation) Fair (6"-9" of insulation) Good (9" of insulation) Excellent (10" of insulation and over) Unknown Are your walls insulated? Yes No
Are your floors insulated? Yes No
Windows & Doors
On a windy day, which best describes the amount of air leakage around your windows? Very drafty Moderate air movement No draft
What is the condition of your door's weatherstripping? Poor Average Good
Which one of the following best describes the type of windows in your home? Single pane - without storm windows Single pane - with storm windows Double pane - without storm windows Double pane - with storm windows Triple pane - without storm windows Triple pane - with storm windows
Which one of the following best describes the type of exterior doors in your home? Hollow wooden Solid wooden Insulated metal
Do you have a storm door? Yes No
Ducts & Sealing
What is the condition of your ducts? Poor Average Good Unknown
(Your ductwork, in the attic, basement,or crawl spaces, is the piping that carries the heated and cooled air from your unit to all of the rooms in your home. The ducts should be covered with insulation, and the joints should be taped.)
Air Conditioning
What is your main source of cooling? Central electric A/C Geothermal heat pump Air source heat pump Dual fuel heat pump Electric window/wall A/C Evaporative cooler Central gas A/C Other None
Space Heating
What is your main source of heating? Gas furnace (forced-air) without a pilot light Gas furnace (forced-air) with a pilot light Gas furnace (hot water) with a pump Gas boiler Gas space heater (wall) Gas space heater (floor) Dual fuel heat pump Electric furnace (forced-air) Geothermal heat pump Air source heat pump Electric baseboard or wall units Ceiling cable Electric thermal storage Other None
Do you use a programmable thermostat? Yes No
