Energy Audit Form
The survey is being conducted strictly for academic purposes and all the information will be kept confidential.
General Information
Respondent's/Owner's Name
*
First Name
Last Name
Email
example@example.com
Address
*
City
State
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Ownership
*
Rented
Owned
Housing Typology?
*
Plotted
Low Rise Apartment (till G+4)
Mid Rise Apartment (till G+7)
High Rise Apartment (>G+7)
Number of Rooms
*
1BHK
2BHK
3BHK
4BHK
≥ 5BHK
Built-Up Area (Please upload house plans if available):
*
in square meters,
House Plans:
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Please submit a single pdf with all floor plans (if available)
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of
Number of hours spent by each member in the house ( Based on their occupation/age)
Name
Age
Occupation
No. of Hours Spent During Weekdays
No. of Hours Spent During Weekends
Which month onwards this is applicable (March 2020-March 2021)
1
2
3
4
5
6
7
8
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No. of residents in the house:
*
1
2
3
4
5
>5
Number of appliances and its usage
No. of the appliances
Daily usage in Weekdays in Summer (in hours)
Daily usage in weekends in Summer (in hours)
Daily usage in Weekdays in winter (in hours)
Daily usage in weekends in winter (in hours)
Specified Wattage
Fans
Lights
Geyser
AC
Heater
Laptops
Mobile
Refrigerator
Water Purifiers
Microwave/Oven
Juicer/Mixer/Grinder
Washing Machine
Power Consumption
*
Usage (kWh)
January
February
March
April
May
June
July
August
September
October
November
December
Total (need not be Filled)
Who is your electricity provider:
*
Name of Electricity DISCOM
Electricity Tariff :
*
in Rs./kWhr
Fixed Charge
*
in Rs.
Total Cost of Electricity
in Rs.
How many hours do you have load shedding in your area( if any)
*
Never
Rarely
Sometimes
Frequently
Everyday
Incentives / Subsidies:
in Rs./kWh
What type of power backup system do you have?
Inverter
Generator
Renewable
Other
Do you have a generator system? If Yes (Capacity):
in Kw
If yes, then at what level:
Household Level
Apartment/Society Level
Are you practicing/adopting energy efficient appliances/conserving methods? (additional self initiated measures like passive measures, green walls, automatic switch offs, timers, cutoff). If yes, specify:
*
Yes
No
Do you use any solar powered appliances? If yes-
Solar Cooker
Solar Water Heater
Solar Panels
Other
Do you use Solar Panel? If yes, Solar Panel Specification (Installed Capacity in kW)
in kW
Submit
Should be Empty: