Home Survey Questionnaire

Boxes marked * must be filled in

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1: How long do you intend to live in your present house?
 
2: Why are you interested in completing this survey?
 
3: How many people live in the property?
 
4: What type of property is it?
 
5: What is the built form of your property?
 
6: How many rooms does the property have (landing/stairs counts as one room)?
 
7: How many storeys does the property have?
 
8: What is the age of the property?
 
9: What is the main wall type?
 
10: What is the roof construction of your property?
 
11: How many chimneys are there?
 
12: Are any of the chimneys used?
 
13: Are any of the following used?
 


14: What is the thickness of the loft insulation?
 
15: If there are cavity walls, is cavity wall insulation fitted?
 
16: Is the hot water pipework insulated?
 
17: How much of the property is double glazed?
 
18: Is there a pitched roof of the house facing in any of the following directions?
 




19: What is the approximate pitch of the roof?
 
20: Is the roof shaded during the day?
 
21: Is the house surrounded by?
 



22: How big is the garden/land attached to the property?
 
23: If the property has any outbuilding, please list the number and type, including detached garages.
 
24: Does the property have a swimming pool?
 
25: If there is a swimming pool, is it heated?
 
26: How is the hot water heated?
 
27: What type of hot water system do you have?
 
28: Is there a hot water cylinder?
 
29: What insulation is fitted to the hot water cylinder?
 
30: Is there a thermostat on the hot water cylinder?
 
31: What supplies the main heating in the property?
 
32: What is the main heating fuel?
 
33: When was the boiler installed?
 
34: Does the boiler supply radiators?
 
35: Do the radiators have thermostatic radiator valves fitted?
 
36: How many radiators are fitted to exterior walls?
 
37: What type of boiler is fitted?
 
38: What are the main heating controls?
 
39: What is the secondary heating fuel?
 
40: What type of secondary room heating is there?
 
41: Are energy efficient appliances being used (A rated appliances)?
 
42: Is energy saving lighting being used?
 
43: How is the water usage accounted for?
 
44: How many toilets have an economy flush system fitted?
 
45: Are there any water butts being used?
 
46: What sustainable technologies are already installed in the house?
 





47: Any other information?
 
 
Please enter other referrer here:     
tick box if you wish to receive fact sheets for any of the following technologies:
rainwater harvesting, sheeps wool insulation, solar electricity (pv), solar water heating, wind turbines, wood stoves