Home Energy Assessment (Standalone)

Property Basics

Housing Type

Foundation Type

Roof Condition

Health & Safety Factors (check all that apply)

Combustion Appliances Present Moisture/Water Issues Visible Mold Suspected Asbestos Suspected Lead Paint No Known Health/Safety Issues

Attic Insulation

Wall Insulation

Crawlspace Insulation

Ductwork Condition

Window Type

Door Sealing

Primary Heating Type

Cooling Type

Heating System Age

Cooling System Age

Potential Issues

Recommendations

Form Completeness