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* 1. Are you an SCE Customer?

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* 2. Housing Type

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* 3. Is your home independently metered?

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* 4. Do you already have a contractor you would like to use?

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* 5. If "yes," what is the contracting company name?

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* 6. Are you enrolled in any of the following assistance programs?

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* 7. Have you participated in any energy savings programs?

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* 8. If "yes," please provide the name of the program.

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* 9. Occupancy status

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* 10. Number of people living in household

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* 11. Total Annual Household Income (Before tax).

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* 12. Primary Household Language

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* 13. Secondary Household Language

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* 14. Provide Home Address

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* 15. Provide Mailing Address (If different to home address)

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* 16. Does your home have attic insulation?

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* 17. Does your home have wall insulation?

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* 18. What type of space heating does your home have?

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* 19. What type of space cooling does your home have?

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* 20. What type of water heater does your home have?

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* 21. What type of cooktop/range do you have?

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* 22. Have you started gathering contractor bids/quotes for planned upgrades?

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* 23. If "Yes," would you like support with estimate reviews?

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* 24. Thank you for participating in the Home Performance Plus online assessment! Your customized assessment will be emailed to you within 2 business days. Please add any notes or comments you wish to share with your Energy Advisor to assist in identifying your next step.

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