Energy Efficiency Retrofit Assessment Form
Property Information
Address
Property Type
Residential
Commercial
Industrial
Other
Year Built
Total Floor Area (sqm)
Contact Information
Contact Name
Email
Phone
Current Energy Use
Primary Energy Source
Electricity
Gas
Oil
Renewable
Other
Estimated Annual Energy Consumption (kWh)
Upload Recent Energy Bills (optional)
Building Envelope
Wall Type
Solid
Cavity
Timber
Other
Insulation Present?
Yes
No
Unknown
Window Type
Single Glazed
Double Glazed
Triple Glazed
Other
Roof Type
Flat
Pitched
Other
Heating, Cooling & Ventilation
Heating System
Cooling System
Ventilation Type
Lighting & Appliances
Main Lighting Type
LED
CFL
Incandescent
Other
Major Appliances
Additional Comments