Citizens' Assembly Electricity Affordability and Energy Poverty Screener

Thank you for completing this survey to assist the Conservation Council in selecting participants for the Citizens’ Assembly on Electricity Affordability and Energy Poverty. Answering the following questions is voluntary. We require this information so we can select participants for the Citizens' Assembly from a broad range of backgrounds. We will select 16 people at this stage to allow for cancellations to ensure we have 12 people participating when we meet online using Zoom on January 26th and 27th, 2023. If you have any questions, contact Louise.Comeau@conservationcouncil.ca

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* 1. Do you have reliable access to the internet?

Yes

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* 2. Do you have a computer with a camera to participate in an online event?

Yes

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* 3. Have you ever used Zoom before to participate in an online meeting?

Yes

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* 4. Do you currently work for government (federal, provincial, municipal, regional service district) or a utility (NB Power, Saint John energy, Énergie Edmundston Energy, Perth-Andover Electric Light Commission)?

Yes

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* 5. Do you currently work for an organization focused on energy affordability or energy poverty?

Yes

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* 6. Do you currently reside in New Brunswick?

Yes

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* 7. What language are you most comfortable with?

English

French

I am bilingual (English and French)

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* 8. Do you currently reside in New Brunswick in a...

Rural community

Suburb of a city

City

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* 9. Do you identify as...

Female

Male

Other

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* 10. Which of the following best describes your gross family household income last year?

Under $15,000

Between $15,000 and $29,999

Between $30,000 and $49,999

Between $50,000 and $74,999

Between $75,000 and $99,999

Between $100,000 and $150,000

Over $150,000

Prefer not to say

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* 11. What is the level of education you have attained?

Less than high school

High school graduate

some college or technical school

some undergraduate training or undergraduate degree

Post-graduate or professional degree

Prefer not to say

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* 12. Do you heat your home mostly with...

Electricity

Oil

Gas

Wood

A mix

Other

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* 13. Do you live in a...

Detached house

Semi-detached house

Apartment

Pre-fabricated home

Other

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* 14. What percentage of your household income do you spend on energy for heating, cooling and transportation?

0%to 2%

3% to 5%

6% to 8%

9% to 11%

More than 12%

Unsure (Try not to use this option if possible. Estimate if you can't find the answer easily)

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* 15. To allow the Conservation council to reach you please provide some personal information.

Name

Address

Address 2

City/Town

ZIP/Postal Code

Email Address

Phone Number