Energy questionnaire

Please complete the following energy questionnaire

	Title (Required)

First name (Required)

Last name (Required)
	Address (Required)


Postcode (Required)

Home telephone

Mobile

Email (Required)

If you live in a house, please select the type


If you live in a flat, please select the type


	Heating type


Does your home have an accessible loft? (Required)


If it can be safely checked, how deep is the existing loft insulation?


Does your home have cavity walls? (Required)


Does your home have draughty windows, doors and skirting boards?


How many hinge windows are there?

How many sash windows are there?

How many external doors are there?

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