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Climate Action in Rural North East (CAIRN) - Home Energy Audit

Thank you for taking part in the CAIRN project.

Completing this short questionnaire will help you understand your home energy use and how our team here at Durham Community Action could support you to save money by improving your energy efficiency.

We ask questions about your home, energy and household to ensure our independent support is tailored to you. This support could include a free in‑person home energy audit, free energy‑saving measures like LED lightbulbs, advice on saving money through improvements to your home, guidance on energy‑efficient behaviours, as well as debt and budgeting support.

We work in partnership with other energy and debt advice providers across Durham so with your consent we can easily refer you for more support.

We look forward to supporting you through these important next steps so please answer what you can and if you need help please just give us a call on 01388 742040 or email info@durhamcommunityaction.org.uk

Please note that the information you provide will be treated confidentially and stored securely in line with General Data Protection Regulations (GDPR).
1.Name:(Required.)
2.Address:(Required.)
3.Postcode:(Required.)
4.Contact number:(Required.)
5.Email address:(Required.)
7.How aware of carbon monoxide are you? (1 = no knowledge, 10 = very aware)(Required.)
8.Carbon monoxide monitor (tick options)(Required.)
9.Under 5's in the property?(Required.)
10.Is any person of pensionable age in the property?(Required.)
11.Energy performance certificate rating?(Required.)
12.No. of bedrooms in the property:(Required.)
13.No. of occupants in the property:(Required.)
14.Property age:(Required.)
15.Type of property:(Required.)
16.Wall construction (tick more than one if appropriate):(Required.)
17.Additional details (tick more than one if appropriate):(Required.)
18.Connections:(Required.)
19.Space/water heating - fuel types used (tick more than one if appropriate):(Required.)
20.Space heating system (e.g combi boiler, air source heat pump):(Required.)
21.Additional heating sources (e.g electric radiators, log burner)(Required.)
22.Hot water system (e.g combi boiler, back boiler etc):(Required.)
23.Controls (what's present, e.g thermostatic radiator value (TRV), HIVE/NEST etc):(Required.)
24.Are they understood and used?(Required.)
25.Is there an electric shower in the property?(Required.)
26.Home insulation (check for existing insulation and proper sealing, tick if present):(Required.)
27.Ventilation (tick what is present):(Required.)
28.Lighting (tick what is present):(Required.)
Traditional
CFL
LED
Spotlights
Other
External lighting/Garage
Living room
Dining room
Kitchen
Bedrooms
Bathroom/shower room
Hall
Landing
29.What time of the day are you at home?(Required.)
30.How informed do you feel about your energy use habits?(Required.)
31.Are there any signs of condensation and damp in the property?(Required.)
32.Do you have a smart meter in the property?(Required.)
33.Pre-payment meter?(Required.)
34.Do you check your tariffs regularly?(Required.)
35.Annual energy use - gas (kWh and/or £):(Required.)
36.Annual energy use - electric (kWh and/or £):(Required.)
37.Renewables (tick what is present):(Required.)
38.Would you like further advice around retrofit measures (e.g solar PV, boiler replacements, heating controls?)(Required.)
39.Would you like further advice around grants available?(Required.)
40.Please tick which topics you would like further advice on:(Required.)
41.Would you like to book a free in-person home energy audit?(Required.)
42.By completing this form you give consent to:

Durham Community Action contacting you via email or phone about optional follow-up conversations and activities.(Required.)
43.Durham Community Action collecting, retaining, and sharing your anonymised data with other relevant organisations for research purposes and for use in public-facing materials. Any personal data will be treated confidentially and stored securely in line with the General Data Protection Regulations (GDPR).(Required.)