Listed building energy champion questionnaire

Thank you for expressing your interest in being a Listed Building Energy Champion, and receiving a discounted Green Heritage Homes Listed Building Survey, as part of our Green Heritage Homes project.

This questionnaire is to help us select suitability for a place on this year‘s programme, in the event that demand exceeds the number of places available. Because our funding is limited, priority will be given to people who can support more activities, as well as to those who’re likely to carry out works to their homes sooner.

We will evaluate responses and be back in touch with you soon to let you know the outcome.

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* 1. Name

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* 2. Address

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* 3. Post code

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* 4. Email address

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* 5. Telephone number

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* 6. Are you the occupier or a landlord of your property?

Owner and occupier

Owner and landlord

Other (please specify)

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* 7. Is your property listed?

Grade I listed

Grade II listed

Grade II* listed

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* 8. How many bedrooms does your property have?

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* 9. Please tell us a bit about your home, e.g. detached/terraced, rough age and construction, etc.

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* 10. What are you looking to do?
Please let us know any energy efficiency measures you have in mind that you would like to implement on your home, e.g. heat pump, secondary glazing, insulation. If you do not know, then please let us know what you are objectives are, e.g. make home warmer, reduce bills, improve comfort.

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* 11. What, if any, energy efficiency measures do you have in place in your home already?

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* 12. Roughly, what timescale are you looking to do any improvements over?

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* 13. Do you have any rough budget in mind for improvements? (You do not have to tell us this if you would prefer not to.)

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* 14. Is there anything else relevant you would like to tell us about your home and your improvement plans?

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* 15. Listed building energy champion activity

Being a Listed Building Energy Champion means you’d be happy to agree to engaging activity to help us share the outcomes of our project and to inspire others.

Please indicate if you would be happy to do the following:

	Yes	Maybe - please let me know more	No
Allow us to publish and share a case study outlining the main recommendations made during the survey (this can be anonymised to house type & postcode).	Allow us to publish and share a case study outlining the main recommendations made during the survey (this can be anonymised to house type & postcode). Yes	Allow us to publish and share a case study outlining the main recommendations made during the survey (this can be anonymised to house type & postcode). Maybe - please let me know more	Allow us to publish and share a case study outlining the main recommendations made during the survey (this can be anonymised to house type & postcode). No
Participate in follow up questionnaires to provide feedback and testimonial about how you found the process, and to track progress on any measures subsequently installed in your home as a result of the advice received.	Participate in follow up questionnaires to provide feedback and testimonial about how you found the process, and to track progress on any measures subsequently installed in your home as a result of the advice received. Yes	Participate in follow up questionnaires to provide feedback and testimonial about how you found the process, and to track progress on any measures subsequently installed in your home as a result of the advice received. Maybe - please let me know more	Participate in follow up questionnaires to provide feedback and testimonial about how you found the process, and to track progress on any measures subsequently installed in your home as a result of the advice received. No
Allow us to publish and share pre-application advice from B&NES Council (this can be anonymised to house type & postcode).	Allow us to publish and share pre-application advice from B&NES Council (this can be anonymised to house type & postcode). Yes	Allow us to publish and share pre-application advice from B&NES Council (this can be anonymised to house type & postcode). Maybe - please let me know more	Allow us to publish and share pre-application advice from B&NES Council (this can be anonymised to house type & postcode). No
Ongoing and follow up communication with the B&NES Conservation Officer to monitor the progress of delivery of building works.	Ongoing and follow up communication with the B&NES Conservation Officer to monitor the progress of delivery of building works. Yes	Ongoing and follow up communication with the B&NES Conservation Officer to monitor the progress of delivery of building works. Maybe - please let me know more	Ongoing and follow up communication with the B&NES Conservation Officer to monitor the progress of delivery of building works. No
Potentially host monitoring equipment from the University of Bath for a limited time to validate some of the assumptions made in the survey model (such as indoor air quality or moisture levels in elements of building fabric).	Potentially host monitoring equipment from the University of Bath for a limited time to validate some of the assumptions made in the survey model (such as indoor air quality or moisture levels in elements of building fabric). Yes	Potentially host monitoring equipment from the University of Bath for a limited time to validate some of the assumptions made in the survey model (such as indoor air quality or moisture levels in elements of building fabric). Maybe - please let me know more	Potentially host monitoring equipment from the University of Bath for a limited time to validate some of the assumptions made in the survey model (such as indoor air quality or moisture levels in elements of building fabric). No
Offer to share information on the case study and your experience through your networks (family, friends, neighbours, colleagues, social media etc).	Offer to share information on the case study and your experience through your networks (family, friends, neighbours, colleagues, social media etc). Yes	Offer to share information on the case study and your experience through your networks (family, friends, neighbours, colleagues, social media etc). Maybe - please let me know more	Offer to share information on the case study and your experience through your networks (family, friends, neighbours, colleagues, social media etc). No
Be contacted by our funders the Department of Energy Security and Net Zero, for feedback about your experience.	Be contacted by our funders the Department of Energy Security and Net Zero, for feedback about your experience. Yes	Be contacted by our funders the Department of Energy Security and Net Zero, for feedback about your experience. Maybe - please let me know more	Be contacted by our funders the Department of Energy Security and Net Zero, for feedback about your experience. No

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* 16. Could you be a Super Champion?

In addition to the core champion activities, we would especially love to find people who would be prepared to do some additional activities to help us to share the outcomes of our project even further.

Please indicate which of the following you might be happy to do:

	Yes	Maybe - please let me know more	No
Provide a video testimonial	Provide a video testimonial Yes	Provide a video testimonial Maybe - please let me know more	Provide a video testimonial No
Write a blog post	Write a blog post Yes	Write a blog post Maybe - please let me know more	Write a blog post No
Speak at local event(s) and to neighbours	Speak at local event(s) and to neighbours Yes	Speak at local event(s) and to neighbours Maybe - please let me know more	Speak at local event(s) and to neighbours No
Participate in an Open Homes event	Participate in an Open Homes event Yes	Participate in an Open Homes event Maybe - please let me know more	Participate in an Open Homes event No
Provide tours of your house for other local residents	Provide tours of your house for other local residents Yes	Provide tours of your house for other local residents Maybe - please let me know more	Provide tours of your house for other local residents No
Host ‘House Warming Parties’ e.g. to share findings of your survey with neighbouring residents	Host ‘House Warming Parties’ e.g. to share findings of your survey with neighbouring residents Yes	Host ‘House Warming Parties’ e.g. to share findings of your survey with neighbouring residents Maybe - please let me know more	Host ‘House Warming Parties’ e.g. to share findings of your survey with neighbouring residents No

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* 17. Any questions or comments?

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* 18. To stay up to date with news from the Home Energy Service, including tips on energy efficiency, our latest services and events, please tick the box below. You can also choose to join the BWCE mailing list for updates about the wider organisation.

Please add me to the Home Energy Service newsletter

Please add me to the BWCE newsletter

What’s next?

Many thanks for completing this questionnaire. We will evaluate responses be back in touch as soon as possible to let you know the outcomes and next steps.

If for any reason it isn’t possible for us to accommodate you on this year‘s scheme, or you would prefer not to be a Listed Building Energy Champion, you might be interested in our standalone Home Energy Efficiency Plans or Futureproof Survey & Reports, more information about which is available at the BWCE Home Energy website.

If you wish to unsubscribe from our newsletter above, at any point you can do so by clicking on the unsubscribe link at the end of any e-newsletter you have received from us to your email address. Your data will be handled in accordance with the BWCE Privacy Policy. Thank you.

Listed building energy champion questionnaire

Question Title

* 1. Name

Question Title

* 2. Address

Question Title

* 3. Post code

Question Title

* 4. Email address

Question Title

* 5. Telephone number

Question Title

* 6. Are you the occupier or a landlord of your property?

Question Title

* 7. Is your property listed?

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* 8. How many bedrooms does your property have?

Question Title

* 9. Please tell us a bit about your home, e.g. detached/terraced, rough age and construction, etc.

Question Title

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* 11. What, if any, energy efficiency measures do you have in place in your home already?

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* 12. Roughly, what timescale are you looking to do any improvements over?

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* 13. Do you have any rough budget in mind for improvements? (You do not have to tell us this if you would prefer not to.)

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* 14. Is there anything else relevant you would like to tell us about your home and your improvement plans?

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* 15. Listed building energy champion activityBeing a Listed Building Energy Champion means you’d be happy to agree to engaging activity to help us share the outcomes of our project and to inspire others. Please indicate if you would be happy to do the following:

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* 17. Any questions or comments?

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* 18. To stay up to date with news from the Home Energy Service, including tips on energy efficiency, our latest services and events, please tick the box below. You can also choose to join the BWCE mailing list for updates about the wider organisation.

* 15. Listed building energy champion activity

Being a Listed Building Energy Champion means you’d be happy to agree to engaging activity to help us share the outcomes of our project and to inspire others.

Please indicate if you would be happy to do the following: