Window Insulation Assessment
General Information
Assessor Name
Assessment Date
Property Address
Window Details
Room/Area
Window Type
Single Pane
Double Pane
Triple Pane
Frame Material
Wood
Aluminum
Vinyl
Fiberglass
Window Size (W x H in cm)
Current Condition
Good
Fair
Poor
Signs of Air Leakage
None
Minor
Significant
Insulation Evaluation
Existing Insulation Method
None
Weatherstripping
Caulking
Plastic Film
Cellular Shades
Insulated Curtains
Other
Insulation Condition
Adequate
Needs Repair
Replace
Observations / Additional Notes