Energy Efficiency Audit Questionnaire
Organization / Facility Name
Contact Person
Type of Facility
Office
Retail
Warehouse
Manufacturing
Hospitality
Other
Address
Total Floor Area (m²)
Average Occupancy
Energy Use
Main Energy Source
Electricity
Natural Gas
Fuel Oil
Propane
Other
Annual Energy Consumption (kWh, GJ, etc.)
Average Monthly Peak Demand (kW)
Describe any known energy issues or concerns
Building Envelope
Building Age (years)
Insulation Level (walls, roof)
Window Type (single, double, triple glazing, etc.)
Are there noticeable air leaks?
Yes
No
Unknown
Lighting
Main Lighting Type
Lighting Controls Used
Additional Comments on Lighting
HVAC
Type of Heating/Cooling System
Approximate Age of System (years)
Thermostat Type (manual, programmable, smart, etc.)
Frequency of HVAC Maintenance
Additional Comments on HVAC
Other Equipment & Appliances
List major energy-consuming equipment
Plans for Equipment/Appliance Replacement?
Yes
No
Don't know
Additional Comments