EXIT Retreat @ Love Creek Survey Question Title 1. Please fill in your contact information for your home in Retreat at Love Creek. Name * Service Address * County City/Town * State/Province * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code * Email Address * Phone Number * OK Question Title 2. Please check your current heating fuel. Electric Propane Don't Know Other (please specify) OK Question Title 3. Are you interested in using natural gas? Yes No If no, why? OK Question Title 4. If your current utility is propane, please answer these two questions to the best of your knowledge. Who is your current propane provider? Do you own your own propane tank? (Yes/No) OK Question Title 5. Please select which type of customer you are. Property Owner Tenant OK Question Title 6. Is this your primary residence? Yes No If no, please provide your current mailing address in the space below. OK Question Title 7. Regarding the service address in question one, if you live there year round, please check the "Year Round" box below. If you do not live there year-round, please check the months you reside there. Year Round January February March April May June July August September October November December OK Question Title 8. Please check the appliances for which you would consider using natural gas. Heat Water Heater (Tank) Water Heater (Tankless) Range Dryer Fireplace Pool Heater Space Heater Other (please specify) OK Question Title 9. Please select your current heating system. Furnace Boiler Heat Pump (Electric) Geothermal Electrical Resistance Don't Know Other (please specify) OK Question Title 10. Please list either the average number of propane gallons used per month OR per year. (This information should be readily available from your propane provider.) Month Year OK DONE