Energy-Efficient Retrofit Prioritization Form
Building Information
Owner Name
Building Address
Building Type
Residential
Commercial
Industrial
Other
Year Built
Floor Area (m²)
Current Energy Use
Annual Energy Use (kWh)
Primary Energy Source
Electricity
Natural Gas
Fuel Oil
District Heating
Other
Existing Systems & Envelope
Heating System
Furnace
Boiler
Heat Pump
Electric Baseboard
Other
Cooling System
Central Air Conditioning
Heat Pump
Window/Portable Unit
None
Other
Insulation Level
Poor
Average
Good
Excellent
Window Type
Single Glazed
Double Glazed
Triple Glazed
Low-E
Other
Retrofit Prioritization
Main Retrofit Goals
Available Budget ($)
Priority Areas (select all that apply)
Insulation Upgrade
Window Replacement
HVAC Improvement
Lighting Upgrade
Renewable Integration
Other
Preferred Retrofit Timeline
Immediately
Within 6 months
Within 1 year
1-3 years
No specific timeline
Additional Notes