Appendix A
Energy Use Questionaire
INSTRUCTIONS: This survey can be completed in just a few minutes by placing a check mark [ √ ] in the appropriate box, circling the answer or writing your response in the space provided. Add other comments as you please. Disregard the numbers adjacent to some of the questions; they are merely for coding and processing your responses by computer. Remember, the information you provide will be held strictly confidential. It will be pooled with data from other respondents and will be reported only in aggregate.
I. BACKGROUND INFORMATION
1. Do you own or rent your home?
[ ] Own
[ ] Rent2. How long have you lived in your home?
[ ] Less than 1 year
[ ] 1 to 3 years
[ ] 3 to 7 years
[ ] More than 7 years3a. Are you a year-round resident or a seasonal resident at this address?
[ ] Year-round resident ----> SKIP TO QUESTION 3C
[ ] Seasonal resident -----> CONTINUE3b. How many months of the year do you spend here?
[ ] 0-3 months
[ ] 4-7 months
[ ] 7-10 months3c. What is your monthly mortgage/rental payment? (To the nearest dollar)
$|____|____|____|____|4a. For each of the members in your household, please indicate their ages in the spaces below:
Adult:
#1 |____|____|
#2 |____|____|
#3 |____|____|
#4 |____|____|Child:
#1 |____|____|
#2 |____|____|
#3 |____|____|
#4 |____|____|4b. What was your total household income for 1989, before taxes?
[ ] Under $15,000
[ ] $15,000 to $24,999
[ ] $25,000 to $34,999
[ ] $35,000 to $44,999
[ ] $45,000 to $54,999
[ ] $55,000 to $64,999
[ ] $65,000 to $74,999
[ ] $75,000 or over5a. What type of residence do you have?
[ ] Single family detached - One story
[ ] Single family detached - Two story
[ ] Townhouse (2-story attached)
[ ] Top floor of condominium/apartment
[ ] Other (lower) floor of dondominium/apartment5b. How many sides of your home have windows?
|____|5c. What direction does the front of your home face?
[ ] North
[ ] South
[ ] East
[ ] West
[ ] Northeast
[ ] Southest
[ ] Northwest
[ ] Southwest
[ ] Don't know5d. Excluding garage, porches and patios, what is the approximate size of your home? (in square feet)
|____|____|,|____|____|____| square feet
[ ] Don't know5e. What is the primary material used to construct your building?
[ ] Concrete block
[ ] Wood frame
[ ] Other: _________________
[ ] Don't know5f. What is the color of the exterior walls of your building?
__________________5g. What is the roofing material used on your building?
[ ] Shingles
[ ] Metal
[ ] Built-up (asphalt and gravel)
[ ] Tile
[ ] Don't know5h. What is the color of your roof?
__________________
II. PERSONAL RESIDENCE ENERGY/RESOURCE USE PATTERNS
6. Which of the following sources of energy do you use in your house?
[ ] All Electricity
[ ] Electricity and LP or Natural Gas
[ ] Solar7a. Do you use gas or electricity for heating your home?
[ ] Gas ----> SKIP TO Q7C
[ ] Electricity -----> CONTINUE7b. IF ELECTRICITY: Do you use:
[ ] Forced air electric resistance heat
[ ] Heat pump
[ ] Room heater
[ ] Other (Describe):___________________
[ ] Don't know7c. What temperature do you keep your thermostat at when heating?
|____|____|8a. What months of the year do you use air conditioning? (circle all that apply)
Jan. Feb. Mar. Apr. May Jun.
Jul. Aug. Sep. Oct. Nov. Dec.8b. During which months do you open windows for natural ventilation? (circle all that apply)
Jan. Feb. Mar. Apr. May Jun.
Jul. Aug. Sep. Oct. Nov. Dec.8c. What factors prevent you from openting windows for a greater period of time?
[ ] No adequate breeze
[ ] Lack of security
[ ] Too hot/cold/humid
[ ] Windows difficult to operate or inoperable
[ ] Excessive noise from traffic or neighbors
[ ] Allergies
[ ] Other:_____________________________8d. What temperature do you keep your thermostat at when cooling?
|____|____|9a. When you are away from the house for the day, do you:
[ ] Turn off the air conditioner/heating,
[ ] Set back the thermostat to a higher setting, or
[ ] Don't change the setting?9b. IF THERMOSTAT IS SET BACK: Is your thermostat set back:
[ ] Automatically, or
[ ] Manually?9c. How many ceiling and portable fans do you have in your house?
|____|____|9d. How often do you use ceiling and portable fans to reduce air conditioning use?
[ ] Always
[ ] Frequently
[ ] Occasionally
[ ] Never9e. Do you use fans even when the air conditioner is on?
[ ] Yes
[ ] No10. What kind of water heater do you have?
[ ] Electric water heater
[ ] Solar water heater
[ ] Air conditioner heat exchanger (Heat Recovery)
[ ] Gas water heater
[ ] Heat pump water heater
[ ] Don't know11a. Are you using more than one refrigerator?
[ ] Yes
[ ] No11b. Do you have a separate freezer?
[ ] Yes
[ ] No12a. Is your clothes washer:
[ ] Inside the house,
[ ] In the garage/porch?
[ ] No clothes washer.12b. How many wash loads do you do per week?
|____|____|12c. Do you dry your clothes at home using:
[ ] An electric dryer, or
[ ] A gas dryer?
[ ] No dryer12d. Do you use a clothesline:
[ ] Always
[ ] Frequently
[ ] Occasionally
[ ] Never12e. Do you use a dishwasher:
[ ] Always
[ ] Frequently
[ ] Occasionally
[ ] Never12f. How many heated water beds do you have:
[ ] One
[ ] Two or more
[ ] None13a. Including all the members of your household, how many baths and showers are taken each week in your house?
|____|____|13b. Does your house have low-flow showerheads?
[ ] Yes
[ ] No13c. Do you have a drippy faucet or running toilet:
[ ] Always
[ ] Frequently
[ ] Occasionally
[ ] Never14a. Do you own a:
[ ] Pool, or
[ ] Spa
[ ] No pool/spa -----> SKIP TO Q14E14b. Do you heat your pool and/or spa with:
[ ] Electric heat pump,
[ ] Gas/Propane, or
[ ] Solar heater?
[ ] No pool/spa heating.14c. Do you use a pool/spa cover?
[ ] Yes
[ ] No14d. How many hours a day do you run your pool and/or spa pump?
|____|____|14e. Do you frequently use another pool?
[ ] Yes
[ ] No14f. IF YES: Is that a:
[ ] Public pool,
[ ] Community/Association pool, or
[ ] Friend's/Neighbor's pool?
III. TRANSPORTATION
15. Is it easy to get around your development without an automobile?
[ ] Yes
[ ] No
Comments:___________________________________________16. Are there any local recreational facilities such as a public park, beach, or playground that are conveniently located and easily accessible on foot or by bicycle? Or is it necessary to drive a car to get to any of them?
[ ] Easily accessible
[ ] Car necessary
Comments:___________________________________________17. Is local shopping for groceries or convenience store easily accessible on foot or by bicycle? Or is a car necessary?
[ ] Easily accessible
[ ] Car necessary
Comments:____________________________________________18. Do you feel it is safe to ride a bicycle:
A. In your development? [ ] Yes [ ] No
Comments:___________________________________________B. Outside your development? [ ] Yes [ ] No
Comments:___________________________________________19. Does anyone in your household ride a bicycle or walk to the store or a recreational area such as a beach or park on a regular basis?
[ ] Yes
[ ] No20. For each automobile in your household, please indicate the following:
Make: Model: Year: Miles driven in
last 12 months21. For each person in the household who works, please indicate:
(1) the number of miles to work;
(2) the number of round trips made each week;
(3) How that person usually gets there
<B=takes bus, C=bicycles, D=drives/is driven, W=walks, O=other - describe>.
Worker 1: Worker 2: Worker 3: Worker 4: 22. For each child in the household, please indicate:
(1) The type of school <P=pre-school/day care/nursery, E=elementary, M=middle, H=high schoo>; (2) The number of miles to school; (3) How the child usually gets there <B=takes bus, C=bicycles, D=is driven/drives, W=walks, O=other - describe>.
Child 1: Child 2: Child 3: Child 4:
23. For each of the following
establishments, how many miles is it to the one you frequent most often?How many times does someone in the household go there? Usually (B) Takes bus, (C) Bicycles, (D) Drives, (W) Walks, (O) Others Grocery store: Drug store: Convenience store: College: Restraurant: Shopping mall: Place of worship: Recreation/Golf area: Movies/theatre: Laundromat: Home improve-ment Center: Other regular trips:
Describe:_______________________________________________________________
IV. LANDSCAPING
24. To what extent do trees help shade your house?
[ ] Almost totally shade house
[ ] Partially shade house
[ ] No shading of house.25. What percentage of the landscape around your house would you say is native, i.e., not disturbed when your house was built?
[ ] 0 to 10%
[ ] 10% to 25%
[ ] 25% to 50%
[ ] Over 50%
[ ] Don't know
... IF YOU DO NOT HAVE A YARD OR GARDEN, SKIP TO Q29...
IF YOU DO HAVE A YARD OR GARDEN...
26a. What size "lot" is your home on?
[ ] Under 1/4 acre
[ ] 1/4 to 1/2 acre
[ ] Over 1/2 acre
[ ] No "lot"26b. How many hours per week do you spend maintaining your yard?
|____|____|26c. Do you use: (check all that apply)
[ ] Pest control chemicals?
[ ] Chemical fertilizers?
[ ] Weed control chemicals?
[ ] No chemicals.26d. Do you grow any fruits or vegetables?
[ ] Fruits
[ ] Vegetables
[ ] Both
[ ] Neither27a. What is the source of the water you use for your yard or garden?
[ ] City/Municipality
[ ] Ground water well27b. On average, how many times a month do you water your yard or garden?
|____|____|27c. What type of watering system do you use?
[ ] Automatic sprinklers
[ ] Manual sprinklers28a. Do you use your lawn for any social or recreational activities?
[ ] Yes
[ ] No28b. IF YES: What activities do you use your lawn for, and how many times a month do you so use it?
1: _________________________________________________ 2: _________________________________________________ 3: _________________________________________________
V. PREFERENCES
29. What do you like most about your development?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________30. What do you like least about your development?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________31. Which of the following features would you like to see in your neighborhood?
[ ] Community swimming pool
[ ] Community entertainment/social building
[ ] Church/synagogue or other religious institution
[ ] Restaurant
[ ] Laundromat
[ ] Neighborhood
[ ] More children
[ ] Fewer children
[ ] Golf course
[ ] Tennis courts
[ ] Grocery Store
[ ] Other (please list):_____________________________
THIS CONCLUDES OUR SURVEY.
THANK YOU VERY MUCH FOR YOUR TIME AND COOPERATION.
NOTE: VERY IMPORTANT
We would like your permission to contact your utility companies to determine the energy usage in your home for the last year. This information will be used only in aggregate with data from other respondents. You can grant your permission by signing the attached forms that the utilities require.
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