Virtual Home Check-up Intake Form

CONCERNS OR ISSUES WITH YOUR HOME
YesNoN/A
Do you think your energy bills are too high?
Are areas of your home too cold?
Are some of your floors (e.g. above the garage) too cold?
Is your top floor too warm in the summer?
Are other areas of your home too warm in the summer?
Are areas of your home drafty and uncomfortable?
Are there issues with condensation / moisture / mold on your windows?
Are there any issues with mold, mildew or musty odors in your home other than on your windows?
Are there issues with dry indoor air in winter?
Is outside noise an issue inside your home (e.g. from streets or neighbours)?
Is your space heating system more than 15 years old?
Is your water heating system more than 10 years old?
Does your heating system provide consistent heating to all parts of your home?
Do you have other energy efficiency concerns?