Home Energy Conservation Audit Form
1. General Information
Name
Address
City
Phone
Email
2. Home Details
Building Type
Single-family
Multi-family
Apartment
Other
Year Built
Number of Floors
Number of Occupants
Total Area (sq ft)
3. Heating and Cooling
Primary Heating Source
Natural Gas
Electric
Oil
Other
Primary Cooling Source
Central AC
Window/Portable AC
None
Other
4. Insulation & Windows
Attic Insulation Type
Window Type
Single-pane
Double-pane
Triple-pane
Other
5. Appliances & Lighting
Refrigerator Age (years)
Washer Type
Top Load
Front Load
None
Lighting Type
LED
CFL
Incandescent
Mixed
6. Additional Notes
Comments or Observations