No-Visit Energy Assessment - Electrify My Home

In order to prepare your customized home electrification upgrades, we’ll need to learn a little more about your home! Fill out this seven-step questionnaire to give our team the info we need about you, the services you are interested in, and the current state of your home - including questions about your heating and cooling system, the layout of your home, your hot water heater, windows, attic, among other details.

Tell Us About You

Name *

First

Last

Layout

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Your Electrify My Home Journey

Which service are you interested in? Select all that apply. *

Not sure? That's fine, just pick one or two items to start the process.

Ducted Heat Pump
Ductless Heat Pump
Heat Pump Water Heater
Insulation
EV Charging
Solar
Other Appliances (Dryer, Induction Cooktop, etc.).

How did you find us? *

We like to know how people find us and also reward those who provide referrals!

Facebook
Google Search
Referral
Other

Referral Name *

Please enter the name of the individual who referred you to Electrify My Home.

Other *

Please explain how you found us.

What is your timeline for completing your first electrification upgrade with us? *

1 month
2-5 months
6-12 months
1+ year
Not Sure - Just Looking For Information

Tell Us About Your Home

Home square footage *

Please provide your home's square footage. If you're unsure, an estimate will be fine.

How many stories? *

My house was built in... *

Please select the year your house was built. If you're unsure, an estimated year will be fine.

Does your home have knob-and-tube wiring?

Knob and tube wiring has porcelain insulating tubes with porcelain knobs to secure wires, typically original to older homes before 1950.

Yes
No
I'm not sure

Does your home have galvanized piping?

Galvanized pipes are steel pipes dipped in zinc coating, common to homes built before 1960.

Yes
No
I'm not sure

Does your home have asbestos?

Asbestos comes in many forms, but it is commonly found as a white material insulating older HVAC ducts and systems.

Yes
No
I'm not sure

What kind of foundation do you have? *

Please select your home's foundation type. If you're unsure, you may select 'Other' and provide further explanation of what your basement looks like..

Concrete Slab
Basement (Finished)
Basement (Unfinished)
Crawlspace (Dirt)
Crawlspace (Vapor Barrier or Concrete)
Other - explain below

Other type of foundation *

Please describe your home's foundation.

Number of bedrooms *

Number of bathrooms *

Home Comfort

I heat my home with *

Please select the type of home heating system that you use.

Gas
Electric

Does your home have a central heating system? *

How many vents/registers do you have? *

An estimate is OK if not readily available.

Do you have air conditioning? *

Please choose the type of air conditioning you have *

Wall AC
Central AC
Portable AC

Does your home have any noticeably uncomfortable rooms? *

Some examples of uncomfortable rooms may include those that are too chilly in the winter or too hot in the summer.

Please rate your home comfort (winter)

1 2 3 4 5 6 7 8 9 10

On a scale of 1 to 10 with 1 being not comfortable and 10 being totally comfortable, please drag the blue dot to rank the overall comfort of your home in the winter.

Please rate your home comfort (summer)

1 2 3 4 5 6 7 8 9 10

On a scale of 1 to 10 with 1 being not comfortable and 10 being totally comfortable, please drag the blue dot to rank the overall comfort of your home in the summer.

Home Water Heater

What type of water heater do you have? *

Please select the type of water heater that is used in your home.

Tank - Gas
Tank - Electric
Tank - Electric Heat Pump
On-Demand - Tankless Gas
On-Demand - Tankless Electric

Where is your water heater located? *

Garage
Basement
Outdoor Closet
Indoor Closet
Inside the House
Attic

How long does it take to get hot water at your farthest faucet? *

We know it's an odd question - it's ok if you need to check.

Under 30 seconds
30 - 60 seconds
60-90 seconds
90+ seconds
Unknown

Home Insulation & Attic Space

What condition are your windows in? Select all that apply. *

Please select as many answers as needed that best describe your home windows.

They're original to the house
I (or a previous owner) upgraded them
They need to be replaced
Double Pane windows
Single Pane windows
Partially New windows
I'm not sure

How well insulated are your walls? *

Please estimate how well you feel your home's walls are insulated. It's ok if you're unsure.

They aren't insulated
Not very insulated
Somewhat insulated
Well insulated
Perfectly insulated
I don't know

Are your floors insulated? *

Please select whether your home's floors are insulated or not. It's ok if you're unsure.

Yes
No
Partially
I'm not sure

Do you have an attic? *

Is your attic insulated? *

Please estimate how well insulated your attic is, if you have one.

Not insulated
Somewhat insulated
Well insulated
Perfectly insulated
I don't have an attic

File Upload & Comments

The files below are extremely helpful for our estimating process.