Energy Community Feedback Information Collection Form
Please provide your feedback and information to help us improve our energy community experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
How are you involved in the energy community?
*
Community Member
Board Member
Volunteer
Service Provider
Other
How long have you been part of the energy community?
*
Please Select
Less than 6 months
6 months to 1 year
1-3 years
More than 3 years
Please rate your satisfaction with the following aspects of the energy community:
*
Rows
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied
Communication
1
2
3
4
5
Decision-making process
6
7
8
9
10
Community events
11
12
13
14
15
Access to information
16
17
18
19
20
Benefits received
21
22
23
24
25
How likely are you to recommend this energy community to others?
*
Not at all likely
0
1
2
3
4
5
6
7
8
9
Extremely likely
10
0 is Not at all likely, 10 is Extremely likely
What do you value most about being part of the energy community?
What challenges or issues have you experienced within the community?
Do you have any suggestions for improving the energy community?
Please select your age group:
Under 18
18-29
30-49
50-64
65 or older
Prefer not to say
Which area or neighborhood do you reside in?
Submit Feedback
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