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Feedback Form

Thank you for taking time to give feedback on your experience during your Energy Smart Colorado Home Energy Assessment. You can complete this survey anonymously, but by providing your name and email address, you will be eligible for an additional $50 in rebates.

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* 1. What was the date of your Home Energy Assessment?

Date

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* 2. Who was your energy analyst?

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* 3. How likely is it that you would recommend this service to a friend or colleague?

NOT AT ALL LIKELY
EXTREMELY LIKELY

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* 4. Why did you provide the rating above?

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* 5. If you were to sum up your assessment in one word, what would it be?

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* 6. What, if anything, did you learn from your experience?

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* 7. Did participating in an energy assessment reinforce a known behavior or teach you a new behavior that you plan to use in the next two weeks?

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* 8. Was your Home Energy Assessment Report easy to understand and navigate?

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* 9. Did you find the Home Energy Assessment Report valuable?

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* 10. Please provide feedback about your responses to the previous two questions:

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* 11. Do you have any direct feedback you would like to provide that was not acknowledged above?

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