Home Performance Plus Online Home Assessment Survey

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* 1. Are you a SCE (Southern California Edison) customer?

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* 2. Are you enrolled in any of the following SCE discounted rate programs?

CARE (California Alternate Rates for Energy)

FERA (Family Electric Rate Assistance)

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* 3. Have you participated in any energy saving programs?

Yes

If "yes," please specify.

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* 4. Occupancy Status.

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* 5. Number of people living in household

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* 6. Total Household Gross (Before tax) Annual Income.

Other (please specify)

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* 7. Are you enrolled in any of the following state assistance programs?

CalFresh/SNAP (food stamps)

Medi-Cal/Medicaid

Medi-Cal for Families (Healthy Families A&B)

W.I.C (Women, Infants, and Children)

LIHEAP (Low Income Home Energy Assistance Program)

Bureau of Indian Affairs General Assistance

CalWorks (TANF)/Tribal TANF

Head Start Income Eligible (tribal only)

National School Lunch Program (NSLP)

Supplemental Security Income (SSI)

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* 8. Are you a Native American Tribal member?

Yes

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* 9. Does anyone in the household speak English as a secondary language?

Yes

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* 10. Please fill out the following information.

First & Last Name

Address

City/Town

State

ZIP/Postal Code

County

Email Address

Phone Number

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* 11. Mailing Address (If different to property address).

Address

City/Town

State

ZIP/Postal Code

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* 12. Housing Type

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* 13. Is your home independently metered? (i.e. does not share utilities with any other units)

Yes

I don't know

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* 14. Does your home have existing attic insulation?

Yes

I don't know

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* 15. Does your home have existing wall insulation?

Yes

I don't know

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* 16. What type of space heating do you currently have?

If you selected "None," please specify.

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* 17. What type of space cooling do you currently have?

If you selected "None," please specify.

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* 18. What type of water heater do you currently have?

If you selected "None," please specify

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* 19. Select any upgrades you may be interested in pursuing for your home.

Attic Insulation

Wall Insulation

Duct Sealing

Ducted Heat Pump

Ductless Heat Pump

Central AC

Heat Pump Water Heater

Induction Cooktop with Electric Range

Other (please specify)

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* 20. Have you started gathering bids for home upgrades?

Yes

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* 21. If you responded "Yes", would you like unbiased assistance with reviewing the bids?

Yes

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* 22. If you responded "Yes" to question 20, please provide the name(s) of the company(ies).

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* 23. If you responded "No" to question 20, would you like assistance in locating Contractors?

Yes

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* 24. Thank you for participating in the Home Performance Plus online assessment! Your customized assessment will be emailed to you within 2 business days. Please add any notes or comments you wish to share with your Energy Advisor to assist with identifying your next step.