Home Energy Savings Survey

1. What fuel do you use for your primary source of heat?

• Kerosene
• Propane
• Heating Oil
• Electricity
• Cordwood
• Wood Pellets

2. What fuel do you use for your secondary (backup) source of heat?

• Kerosene
• Propane
• Heating Oil
• Electricity
• Cordwood
• Wood Pellets

5. How do you feel about your current spending on your energy bills (heat & electricity bills combined)? 

• I can usually afford to pay my energy bills
• I can usually afford to pay my energy bills, but the cost seems higher than it should be
• I can usually afford to pay my energy bills, but if the cost goes up it will become a challenge
• Some months it is hard for me to afford my energy bills along with everything else
• I can’t afford my energy bills without help

6. Have you made any changes to your home or lifestyle to reduce your energy bills? Please check all that apply.

• Weatherized my home (added insulation, window caulking, storm windows, interior window inserts or window plastic, etc.)
• Installed a more efficient heating system
• Decreased the temperature setting on my thermostat(s)
• Installed programmable thermostat(s)
• Switched to LED light bulbs
• Other - Write In Please enter an 'other' value for this selection. * This question is required.

8. Below is a list of programs that can help reduce energy bills. Please check the boxes of those you are familiar with and interested in learning about. If you are interested in any of these programs, please enter your contact information at the end of the survey and a volunteer will reach out with more information. 
 

Space Cell	Aware	Not Aware	Interested in this program	Have used this program
Listen's Heating Helpers	Listen's Heating Helpers: Aware	Listen's Heating Helpers: Not Aware	Listen's Heating Helpers: Interested in this program	Listen's Heating Helpers: Have used this program
Weatherization Assistance Program (CAPSTONE, SEVCA)	Weatherization Assistance Program (CAPSTONE, SEVCA): Aware	Weatherization Assistance Program (CAPSTONE, SEVCA): Not Aware	Weatherization Assistance Program (CAPSTONE, SEVCA): Interested in this program	Weatherization Assistance Program (CAPSTONE, SEVCA): Have used this program
Green Mountain Power Energy Assistance Program	Green Mountain Power Energy Assistance Program: Aware	Green Mountain Power Energy Assistance Program: Not Aware	Green Mountain Power Energy Assistance Program: Interested in this program	Green Mountain Power Energy Assistance Program: Have used this program
Seasonal Fuel/Crisis Fuel Assistance	Seasonal Fuel/Crisis Fuel Assistance: Aware	Seasonal Fuel/Crisis Fuel Assistance: Not Aware	Seasonal Fuel/Crisis Fuel Assistance: Interested in this program	Seasonal Fuel/Crisis Fuel Assistance: Have used this program
COVER Home Repair’s volunteer assisted weatherization	COVER Home Repair’s volunteer assisted weatherization: Aware	COVER Home Repair’s volunteer assisted weatherization: Not Aware	COVER Home Repair’s volunteer assisted weatherization: Interested in this program	COVER Home Repair’s volunteer assisted weatherization: Have used this program
Efficiency Vermont Rebates	Efficiency Vermont Rebates: Aware	Efficiency Vermont Rebates: Not Aware	Efficiency Vermont Rebates: Interested in this program	Efficiency Vermont Rebates: Have used this program
USDA Section 504 Home Repair Program	USDA Section 504 Home Repair Program: Aware	USDA Section 504 Home Repair Program: Not Aware	USDA Section 504 Home Repair Program: Interested in this program	USDA Section 504 Home Repair Program: Have used this program
Enter another option	Other: Aware	Other: Not Aware	Other: Interested in this program	Other: Have used this program

9. If you contacted or used any of these programs, how satisfied were you with your experience?

Space Cell	Extremely Dissatisfied	Somewhat Dissatisfied	Somewhat Satisfied	Extremely Satisfied
Listen's Heating Helpers	Listen's Heating Helpers : Extremely Dissatisfied	Listen's Heating Helpers : Somewhat Dissatisfied	Listen's Heating Helpers : Somewhat Satisfied	Listen's Heating Helpers : Extremely Satisfied
Weatherization Assistance Program (CAPSTONE, SEVCA)	Weatherization Assistance Program (CAPSTONE, SEVCA): Extremely Dissatisfied	Weatherization Assistance Program (CAPSTONE, SEVCA): Somewhat Dissatisfied	Weatherization Assistance Program (CAPSTONE, SEVCA): Somewhat Satisfied	Weatherization Assistance Program (CAPSTONE, SEVCA): Extremely Satisfied
Green Mountain Power Energy Assistance Program	Green Mountain Power Energy Assistance Program: Extremely Dissatisfied	Green Mountain Power Energy Assistance Program: Somewhat Dissatisfied	Green Mountain Power Energy Assistance Program: Somewhat Satisfied	Green Mountain Power Energy Assistance Program: Extremely Satisfied
Seasonal Fuel/Crisis Fuel Assistance	Seasonal Fuel/Crisis Fuel Assistance: Extremely Dissatisfied	Seasonal Fuel/Crisis Fuel Assistance: Somewhat Dissatisfied	Seasonal Fuel/Crisis Fuel Assistance: Somewhat Satisfied	Seasonal Fuel/Crisis Fuel Assistance: Extremely Satisfied
COVER Home Repair’s volunteer assisted weatherization	COVER Home Repair’s volunteer assisted weatherization: Extremely Dissatisfied	COVER Home Repair’s volunteer assisted weatherization: Somewhat Dissatisfied	COVER Home Repair’s volunteer assisted weatherization: Somewhat Satisfied	COVER Home Repair’s volunteer assisted weatherization: Extremely Satisfied
Efficiency Vermont Rebates	Efficiency Vermont Rebates: Extremely Dissatisfied	Efficiency Vermont Rebates: Somewhat Dissatisfied	Efficiency Vermont Rebates: Somewhat Satisfied	Efficiency Vermont Rebates: Extremely Satisfied
USDA Section 504 Home Repair Program	USDA Section 504 Home Repair Program: Extremely Dissatisfied	USDA Section 504 Home Repair Program: Somewhat Dissatisfied	USDA Section 504 Home Repair Program: Somewhat Satisfied	USDA Section 504 Home Repair Program: Extremely Satisfied
Enter another option	Other: Extremely Dissatisfied	Other: Somewhat Dissatisfied	Other: Somewhat Satisfied	Other: Extremely Satisfied

12. If you wanted to lower your energy bills, how would you like to get information about programs that could help? (Please select your top three choices)

• Online (Websites, Internet search, blogs)
• Direct Mail
• Friend or Neighbor
• Social Media (Listserv, Facebook)
• Posters in public places (bulletin boards, post office, library)
• Newspaper Ads or Articles
• Town Energy Committee
• Radio
• Television
• Other - Write In (Required) Please enter an 'other' value for this selection. * This question is required.

14. Do you live in a mobile or manufactured home?

• Yes
• No

15. On average, how much do you spend annually on heating fuels (fuel oil, propane)?

• Under $1,100 ($92 per month)
• $1,100 - $1,600 (between $92 and $133 per month)
• $1,600 - $2,000 (between $133 and $167 per month)
• Over $2,000 (more than $167 per month)

16. On average, how much do you spend annually on electricity?

• Under $1,100 ($92 per month)
• $1,100 - $1,600 (between $92 and $133 per month)
• $1,600 - $2,000 (between $133 and $167 per month)
• Over $2,000 (more than $167 per month)

17. We would like to connect you with a volunteer from your town who can help you connect to programs that suit your needs. They would reach out by phone or email to talk with you about your responses to this survey and any energy saving programs that might be a good fit for you. We look forward to connecting with you! (Check all boxes that apply)

• Sounds great. I look forward to being connected with a volunteer who can help me lower my energy bills.
• I'd rather not be contacted, thanks anyway.
• I prefer to be contacted BY PHONE
• I prefer to be contacted BY EMAIL

18. Would you consider sharing your experiences about lowering your energy costs so that others can learn from your experience and reduce their energy bills? 
The energy savings programs mentioned in this survey are great resources for our Upper Valley neighbors, but they're not perfect. Vital Communities has an opportunity to share your feedback with program providers to help make these programs work better, and even to imagine new programs that would help in new ways. We also want to improve our own efforts in engaging local communities.

But we need your help. You know better than anyone what it's like to heat your home, to keep energy bills low, or to try and apply for these programs. You also know better than anyone where programs do - or don't - actually help you in the ways you need help.

Would you be willing to share your thoughts and experiences? This would likely involve one or more phone calls or virtual meetings with Vital Communities staff or volunteers, and we have grant funding to compensate you for your time. Are you interested in learning more about this opportunity? (If you check "yes", a volunteer or staff person will follow up by phone).  This would be separate from the Raffle Prizes, which you are entered into automatically if you check "yes" on the Raffle Question in this survey. 
 

• Yes, you can contact me for a phone interview about my experiences.
• No, please do not contact me for a phone interview.