Energy Support Accessibility Survey Form
Help us understand your experience with accessing energy support services. Your feedback will guide improvements in accessibility and service delivery.
Which type(s) of energy support services have you tried to access in the past 12 months?
*
Bill payment assistance
Home energy efficiency upgrades
Emergency energy support
Information or advice only
Other
How did you first learn about available energy support services?
*
Community organization
Utility company
Online search
Friend or family
Other
How easy was it to find information about energy support services?
*
1
2
3
4
5
Please rate your overall experience accessing energy support services.
*
1
2
3
4
5
Which of the following barriers, if any, have you encountered when trying to access energy support?
*
Complex application process
Lack of information
Limited eligibility
Language or communication barriers
No barriers encountered
Other
How would you prefer to access energy support services?
*
Online portal or website
Phone call
In-person at a local office
Through a community organization
Other
Please indicate your level of agreement with the following statements about energy support services.
*
Rows
Strongly disagree
Disagree
Neutral
Agree
Strongly agree
The information provided was clear
1
2
3
4
5
The service was accessible to me
6
7
8
9
10
Staff were helpful and supportive
11
12
13
14
15
What would make accessing energy support services easier for you?
Do you have any additional suggestions or comments about improving accessibility to energy support?
What is your age group?
Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
Prefer not to say
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