Questionnaire

CONTACT INFORMATION (REQUIRED)

Name:

Job Title:

Company:

Phone:

E-mail:

PROJECT DETAILS (Optional, check as many as apply)

1. What prompted an inquiry into an Insulation Energy Appraisal?

Immediate need for maintenanceDesire to conserve energyDesire to reduce fuel expensesCompany initiativeEnvironmental concernsExisting maintenance programOther

2. People who may want to be included in this process:

Building ownerFacilities managerFacilities engineerMaintenance personnelOther

3. What are your areas of concern at your location?

Heating systemCooling systemDomestic Hot WaterProcesses driven by steam systemEnergy returned to systemOther

4. Currently, the facility's insulation system is designed to:

Minimize heat loss/gainMaximize energy efficiencySatisfy energy codesProvide personnel protectionNot sure what was considered in design

5. In the past, what has motivated insulation decisions at your facility?

Routine maintenanceBuilding or plant expansionProcess change or modificationReduction of energy consumptionChange in laws or regulationsPersonnel protection / Safety concernsNoise pollutionSystem protectionOther

6. What is your goal in having an Insulation Energy Appraisal?

7. Please list any specific questions you may have for us about the program.

8. How did you hear about our Insulation Energy Appraisal program?

Industry recommendationCompany requestWeb search engineOther

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