EAP 2025-2026 Client Survey Question Title * 1. What county do you live in? Daviess Knox Greene Sullivan Question Title * 2. Did you apply for Energy Assistance last year? Yes No Question Title * 3. If you are a NEW applicant, how did you hear about the Energy Assistance program? (Check all that apply) Advertisement - Flyer, newspaper, radio, social media, etc. Another person Pace Website Referred by a community partner/trustee. Please list below: Additional information: Question Title * 4. The application packet included a checklist which listed all the required documentation to be submitted. Was this form easy to understand? Yes No Question Title * 5. Which of these do you do to conserve energy? (Check all that apply) Replaced light bulbs with energy saving bulbs Washing clothes in cold water Changed the furnace filter Added window or door insulation Opened/Uncovered ALL air vents Opened/Closed curtains to heat/cool home Installed a programable thermostat Adjusted thermostat Purchased an Energy Star appliance or item Clean the dryer vent after each load Wash full loads of laundry Use smaller kitchen appliances when possible Unplug small appliances when not in use Airdry clothes Turn off lights when not needed Question Title * 6. Were you treated with respect by Pace staff? 5 - Highly Satisfied 4 3 2 1 - Very Dissatisfied Question Title * 7. Did you require assistance completing your application Yes No Question Title * 8. Additional Comments or suggestions: Done