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2. Full Name*
3. Energy Audit Address*
5. Did you make the suggested changes?*

   1. Yes
   2. No
   3. Some
6. 
8. Which of the following improvements were completed as a result of the audit?

   1. Replace incandescent lightbulbs with LEDs
   2. Add/replace insulation
   3. Convert gas appliances to electric
   4. Replace windows
   5. Add weatherstripping to doors and windows
   6. Install a smart thermostat
   7. Improve air sealing
   8. Other
9. If you selected "other" please describe
11. Any additional feedback on the Energy Audit process?
13. Energy Bill

    Upload a copy of your energy bill before and after the upgrades, if available. 

15. BEFORE
16. AFTER
18. BEFORE
19. AFTER
21. Estimated saving per month on your energy bills after the upgrade(s).
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23. 1. Receive an email copy of this form.
24. Email address

    This field is not part of the form submission.

25. Submit

* indicates a required field