SUH electrical Survey

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 NameLast Name
Email
example@example.com
Address*
CityState
Country
Ownership*
RentedOwned
Housing Typology?*
PlottedLow Rise Apartment (till G+4)Mid Rise Apartment (till G+7)High Rise Apartment (>G+7)
Number of Rooms*
1BHK2BHK3BHK4BHK≥ 5BHK
Built-Up Area (Please upload house plans if available):*
in square meters,
House Plans:
Please submit a single pdf with all floor plans (if available)
Cancelof
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

	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

	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

Energy Audit Form