Please Read Carefully (below)

*When gathering information & photos of your home, be aware that it may require you to observe areas of your home that can be hard to reach. Please be sure not to over exert yourself, and/or put your safety at risk to obtain answers or photos pertaining to the questions below. 

*Please be as thorough as possible in providing the information requested below, as it will help guide our Energy Specialist in making recommendations for Mass Save approved Efficiency Upgrades.

*Please take photos (to the best of your ability) of all areas and equipment referenced in the questions below. Refer to your "Welcome Email" for further details on the Required & Requested Photos, and Uploading instructions.

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* 1. Address

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* 2. Do you own or rent the home?

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* 3. (Approximate) square footage of living space? (not including basement)

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* 4. How many floors/stories? (not including basement)

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* 5. Number bedrooms?

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* 6. Number of occupants that live in the home?

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* 7. House type?

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* 8. What style of house is it?

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* 9. (Approximate) Year the home was built?

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* 10. What heating fuel source(s) does the home have? 
(Select all that apply)

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* 11. [If you selected multiple heating sources] Please select the Primary heating source.

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* 12. Primary heating system type?

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* 13. (Approximate) Age of the Primary heating system?

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* 14. Does your home have any of the following heat sources?
(Select all that apply)

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* 15. When last did you have the Primary heating system serviced?

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* 16. Primary Cooling type?

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* 17. (Approximate) Age of the Primary cooling system?

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* 18. Number of non-programmable thermostats?

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* 19. What fuel source(s) heat the hot water?
(Select All that apply)

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* 20. Primary hot water heater distribution type?

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* 21. (Approximate) Age of your Primary hot water heating system?

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* 22. Does your home have a basement?

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* 23. [If you have a basement] Choose which condition below best describes the basement?

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* 24. [If you have a basement] Do you have insulation in your Rim Joist?
(The area above the foundation walls)
(see photos below)

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Rim Joist Insulation

Rim Joist Insulation

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Rim Joist - Not Insulated

Rim Joist - Not Insulated

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* 25. Do you ever feel moisture in the air, or have dampness or wetness in the basement? Any foundation leaks, puddling, or wet concrete in your basement at any time over the year?

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* 26. [If you do have moisture at times] Please describe the extent of the moisture.

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* 27. Do you have any crawlspaces in the home? (see photos below)

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Image

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Image

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Image

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* 28. Do the exterior walls have insulation inside them?

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* 29. What type of siding do you have?

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* 30. How many Single Pane windows do you have in the house?
(Windows with only 1 pane of glass)
[if any]

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* 31. Does your home have an attic?

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* 32. [If you have an attic] Describe the attic insulation type and thickness (inches).

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* 33. [If you have an attic] Does the attic have flooring?

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* 34. Do you have Vermiculite insulation anywhere in the home? (see photos below)

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Vermiculite Insulation

Vermiculite Insulation

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Vermiculite Insulation

Vermiculite Insulation

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* 35. Do you have a top-loading washer with an agitator? (see photo below)

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Top-loading Washer w/ Agitator

Top-loading Washer w/ Agitator

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Manufacturer Sticker (Required for Rebate)

Manufacturer Sticker (Required for Rebate)

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* 36. What is the clothes dryer fuel?

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* 37. (Approximate) Age(s) of your refrigerator(s)?

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* 38. Do you use any of the following?
(Select all that apply)

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* 39. Cooking fuel type?

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* 40. Does the home have PV Solar? 

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* 41. How many exhaust bathroom fans does your home have?

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* 42. Does the home have any sloped or vaulted ceilings? (see photos below)

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Sloped Ceilings

Sloped Ceilings

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Vaulted Ceilings

Vaulted Ceilings

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* 43. Does your home have any kneewall spaces on the 2nd or 3rd floor? (See photos below)

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Kneewall

Kneewall

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Kneewall Space

Kneewall Space

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* 44. [If you have kneewalls] Describe the existing insulation (type/thickness) and location of the insulation (floor, wall, slope)

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* 45. Has the home ever had Knob & Tube wiring? (see photo below)

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Knob & Tube Wiring

Knob & Tube Wiring

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Knob & Tube Wiring

Knob & Tube Wiring

T