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Domestic ENERGY SURVEY Laragh Glendalough

Laragh Glendalough SEC and 3 Counties Energy Agency (3cea) are conducting a residential energy survey as part of completion of an Energy Master Plan (EMP) for Laragh Glendalough areas. We would kindly ask you to fill out the survey as this will make our results and data for the EMP more robust. By filling out the survey you will be entered into a draw to be in with a chance to win a FREE home energy monitor by MiHome.
1.Name(Required.)
2.Address(Required.)
3.Eircode(Required.)
4.Email(Required.)
5.Phone
Building Energy Rating (BER)
6.Has a Domestic BER test been undertaken ?(Required.)
7.If you have a BER test done, what is the rating? 
8.Estimated Annual Energy Cost
General information
9.Dwelling Type(Required.)
10.Year of construction
11.No of storeys(Required.)
12.Does your house have a front porch?(Required.)
13.Length of front house (meters)
14.Width of side house (meters)
15.Floor area m2 (if known) (Required.)
16.Window Type(Required.)
17.Number of windows(Required.)
18.What is the area of your windows (m2)
19.Ventilation(Required.)
Building Elements
20.Wall construction(Required.)
21.Roof insulation(Required.)
22.Thickness of roof insulation mm (if known)
23.Floor
Space Heating
24.Main heating system(Required.)
25.How old is your heating system?  (years)(Required.)
26.How is your heating system controlled(Required.)
27.Secondary heating system
Hot Water Heating
28.Hot water heating system (Required.)
29.Hot water tank insulation(Required.)
Travel - Main Mode of Transport
30.What type of car do you drive(Required.)
31.What is the age of the car? (years)
32.Average distance per year (km)
33.Do you commute to work every day?(Required.)
34.If yes how far do you commute? (km) (round trip)
35.How many days do you commute?(Required.)
If there are additional cars in your house, please fill out the following tables
Travel - Second Mode of Transport
36.What type of car do you drive?
37.What is the age of the car? (years)
38.Average distance per year (km)(Required.)
39.Do you commute to work every day?
40.If yes, how far do you commute? (km) (round trip)
41.How many days do you commute?
42.Do you have any ideas on how to make your community more sustainable?
Thanks for the completion of the survey.
GDPR Data Protection Notice: by submitting the 'Domestic ENERGY SURVEY Laragh Glendalough' you are giving permission for 3cea and Laragh/Glendalough SEC to collect and process the data relating to you in connection with your participation in the survey.  We will use personal data relating to you for the purposes of: a) processing your participation for the Energy Survey.  b) communicating with you in relation to the Energy Survey. c) sending you e-mails in relation to the Energy Survey. *We will not hold your data for longer than is necessary.  *The personal data will be securely stored, in order to prevent unauthorised access. We respect your trust and protect your privacy and therefore will never share this with any third parties. If you have any queries in connection with our processing of your personal data, you can contact us at www.3cea.ie. Thank you.
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