School Building HVAC Efficiency Survey

General Information

School Name Building Address Contact Person Email Survey Date

HVAC System Details

Type of HVAC System Central Split Window Other Age of System (years) Last Maintenance Date Frequency of Maintenance Monthly Quarterly Annually Other Number of HVAC Units

Efficiency and Operation

Are programmable thermostats installed? Yes No Are filters replaced regularly? Yes No Typical Operating Hours Per Day Are energy-efficient practices in place? Yes No

Comments and Suggestions

Additional Notes