Orange County REMC Custom Energy Profile

Name (first and last name) 
Date
Address 
City 
Home phone (xxx-xxx-xxxx) 
State 
E-mail
Zip  
Co-op Account Number (optional)

*Responses to all questions are required in order to produce your energy-saving recommendations.

Home Information

1. Year your house was built:

Before 1960
1960 – 1969
1970 – 1979
1980 – 1989
1990 – 1994
1995 – 1999
2000  – 2004
After 2004
 
2. Type of dwelling:
Single-family
Mobile, manufactured home
Apartment, duplex, condo
 
3. House type: (any that apply)

1-level ranch
2+ stories
Split-level
Basement
Single-wide
Double-wide
Triple-wide

 
4. Size of home:

Less than 1,000
1,000 - 1,499
1,500 - 1,999
2,000 - 2,499
2,500 - 2,999
3,000 – 3,999
4,000 – 4,999
5,000 or more

 
5. About how much of your lighting is compact fluorescent (CFL) bulbs?
None 1%-25% 26%-50% Over 50%
 
6. Is your attic insulated?
Yes No
 
7. Do you experience any of these problems in your home? (check all that apply)

Cold drafts in winter
Water condensation on windows in winter
Uneven temperatures from room to room
Heating system won’t keep home warm enough
Air conditioning system won’t keep home cool enough
None

 
8. Number of occupants:
 
9. Own or rent your home:
Own Rent
 
Appliances
10. Refrigerators you use:
None 1 2 3+
 
11. Freezers you use:
None 1 2 3+
 
12. LCD or plasma TV’s you use:
None 1 2 3+
 
13. Ceiling fans you use: 
None 1 2 3+
 
14. Desktop or laptop computers you use:
None 1 2 3+
 
15. Swimming pool pump:
None 1 2+
 
16. Pool or hot tub heater:
Yes No
 
Heating, Cooling and Ventilation
17. Primary heating fuel:
Electric
Propane
Natural Gas
Wood
Fuel Oil
Other
 
18. Type of primary heating system:
Geothermal heat pump
Air source heat pump
Dual-fuel heat pump
Electric furnace
Natural gas furnace
Propane furnace
Wood stove or fireplace
Electric thermal storage
Zoned electric (ceiling, cove, baseboard, wall unit)
Other
 
19. Approximate year primary heating system was installed:

Before 1986   
1986 – 1990  
1991 - 1995
1996 – 2000   
2001 – 2005  
After 2005 

 
20. Do you use portable electric plug-in heaters in your home?
Yes No
 
21. Type of air conditioning:

Geothermal heat pump 
Air source heat pump  
Dual-fuel heat pump 
Central air  
Window unit(s)  
None (skip to #23)

 
22. Approximate year air conditioning system was installed:
Before 1986   
1986 – 1990  
1991 - 1995
1996 – 2000   
2001 – 2005  
After 2005 
 
23. Air flow around and condition of outdoor A/C condenser or heat pump:
Poor 5 Excellent
 
24. Programmable thermostat installed?
Yes No
 
25. Thermostat setting (degrees F).
Winter?  Summer?
 
26. How often do you change or clean your heating and air conditioning ductwork filter?
Once a year
Twice a year
Quarterly
Every other month
Monthly
 
Water Heating
27. Water heaters in use: 
1 2 3+
 
28. Primary water heater fuel:
Electric
Propane
Natural gas
Other
 
29. Approximate year primary water heater was installed:
Before 1991  
1991-1995   
1996-2000   
2001-2005   
After 2005 
 
30. Primary water heater size: (in gallons)

20 – 29 
30 – 39  
40 – 49  
50 – 59  
60 – 69
70 – 79 
80+   
Tankless

 
31. Primary water heater thermostat setting:
degrees F
 
32. Hot water pipe wrap insulation:  
Yes No
 
33. Reduced-flow showerheads or sink aerators:
Yes No
 
Weatherization 
34. Wall penetrations sealed to prevent drafts and air leakage (outlets, light fixtures, pipes, phone, cable):
Poor  Excellent
 
35. Caulking or weatherstripping seal around doors and windows frames:
Poor 5   Excellent
 
36. Type of fireplace(s):
Wood-burning 
Natural gas or propane  
None (skip to #38)
 
37. Fireplace has doors:
Yes No
 
38. Fireplace damper(s) closed when not in use:
Yes No
 
39. Condition of skirting and ductwork underneath manufactured or mobile home:
Poor 5  Excellent
Not mobile/manufactured home
 
40. Type of windows:
Single-pane
Double-pane
Storm windows
Low-E windows 
 

You’re done! Now just click Submit, and we will e-mail your Custom Energy Profile showing ways to help you reduce your energy use and save money. 

At Orange County REMC, we’re happy to be of service.  

Please call us at 812-865-2229, or click http://www.myremc.coop to visit our website for more energy efficiency information.