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Solar Energy Customer Questionnaire

(to be printed out OR cut and pasted to an email and mailed to the above address)

If you would like a solar assessment of your home or business (including approximate cost), please complete this questionnaire to the best of your knowledge..

Name: _______________________________________________ Date: ___________

Address: ______________________________________________________________

Address (where system will be installed, if different than above): _____________________________________________________________________

Home Phone:_________________________ Other Phone: ______________________

Email Address: ________________________________

Do you want to receive notices of solar sales, happening & legislative alerts? Yes No

General Questions
Who is your electric company: _____________________________________________
This system is for a: Home Business Other ________________
Your role: Owner Builder Architect Other ________________
Your reason for a Solar Energy System: Clean Energy Energy independence
Hedge against higher energy prices Reliable energy Other______________________
Are you interested in a photovoltaic (solar electric) system? Yes No
Are you interested in a back up power system (UPS)? Yes No
How did you learn about Advanced Energy Solutions?____________________________
Any additional comments___________________________________________________

Determining Your Current Energy Use
Do you use gas? Yes No If so what for: ____________________________________
How much do you use? Winter month_____________ Summer month ______________

Electricity Use- Preferred Method (most accurate)
Find your monthly electricity usage for each of the last 12 months (labeled KWH on your bill) Total the 12 monthly usage figures to find your total annual usage. This is also available as a report from your electric company. Total Annual KWH usage: __________
Electricity Use- Alternative Method
Find the monthly usage for 2 or more months (labeled KWH on your bill). If possible select one month from each season.
Spring___________Summer___________ Fall __________ Winter ___________
Determining Your Solar Array Location
Solar panels can be installed on a roof, trellis, on a pole or a ground-mounted rack.
Where would you like to mount the panels? Roof Top of Pole Tracker (single axis) Tracker (single axis) Ground mount Power-Shed Garage Awning style Side of Pole
If on the roof, what type of roof do you have? ______________________
If you prefer a roof-mounted system, please answer the following:
Is there an area(s) on your roof that is exposed to the sun most of the day? Yes No
Approximate orientation of exposed roof area(s) (Circle one or more)
East Southeast South Southwest West Other ____________
What is the approximate square footage of exposed roof area? ______________
Type of roof: Composite Tar & Gravel Rubber Wood shake Tin Tile Other___________
Approximate age of roof: __________________
Number of stories on building: ________________________
General condition of roof: _________________________
Approximate slope of roof area: Flat 3:12(14 degrees) 4:12 (18 degrees)
6:12 (27 degrees) 12:12 (45 degrees) Other: _________________
Getting Started
Approximately when would you want your system installed?
Now Within 3 months Within 6 months Within a year Not sure
Would you like assistance in obtaining financing? Yes No
Please indicate the best time to contact you: _______________________
Comments: