Byram Section 2

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* 1. Contact Information

Name

Address

City/Town

ZIP/Postal Code

Email Address

Phone Number

Question Title

* 2. Please select your current heating source

Oil

Propane

Electric

Other (please specify)

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* 3. Are you currently interested in converting any appliances to natural gas?

Yes

No

Maybe- What additional information is needed to help you make this decision?

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* 4. In some cases. there is a cost to extend natural gas service to your home, if there is a cost, how much would you be willing to spend?

$0

$10000

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 5. If you are not currently interested, would you consider converting to natural gas service in the future?

Yes (within 1 year)

Yes (within 3 years)

Yes (within 5 years)

No

Other (please specify)