Residential Energy Consumption Assessment
Property Address
Owner/Occupant Name
Contact Email
Contact Phone
Property Information
Type of Dwelling
Detached House
Semi-Detached
Townhouse
Apartment/Condo
Other
Year Built
Approximate Floor Area (m²)
Number of Occupants
Energy Consumption
Yearly Electricity Usage (kWh)
Yearly Natural Gas Usage (m³)
Other Fuels Used (Type & Annual Consumption)
Heating & Cooling Systems
Primary Heating System
Gas Furnace
Electric Heater
Heat Pump
Boiler
Other
Primary Cooling System
Central A/C
Window A/C
Heat Pump
None
Other
Insulation & Windows
Insulation Level
Poor
Average
Good
Unknown
Window Type
Single Glazed
Double Glazed
Triple Glazed
Other
Additional Information
Renewable Energy Sources (if any)
Notes / Observations