Energy Certificates Questionnaire

Energy Certificates (EPCs & DECs)

Pre-Survey Questionnaire

NB A SEPARATE QUESTIONNAIRE SHOULD BE COMPLETED FOR EACH BUILDING FOR WHICH AN ENERGY CERTIFICATE & ASSOCIATED REPORT IS REQUIRED

Please complete the following information as accurately as possible to enable us to provide a quotation:

Please note that a * represents a required field.

Your Contact Details:

Title:*

First Name:*

Last Name:*

Phone:*

Email:*

Confirm Email:*

If your enquiry relates to a home EPC, please check the following box and continue from the last section (Home Energy Performance Certificates)

I require a Home EPC

Business/Organisation EPCs and DECs

Position within Organisation:*

Name of Business/Organisation:*

Certificate(s) Required:*

Address of Building Requiring Certificate:*

Postcode:*

Occupation status of Building:*

Number of floors (inc. basement):*

Type of Building:*

If 'Other' please describe briefly:*

Nature of Organisation:*

Total floor area (in square metres) involved:*

Approximate year of original construction:*

Approximate year of major rebuild or extension, if any:

Are drawings of the building available? Please check any or all that apply:*

Is air conditioning installed:*

Yes No

How many boilers are installed in the building:*

Is there a boiler or air conditioning system rated at over 100kW:*

Are energy bills (electricity, gas, oil, other) for one year readily available for the building:*

Yes No

Please add any other information you feel might be of relevance at this stage, if any:

Home Energy Performance Certificates

NOTE: If you are completing this questionnaire for a building within a business/organisation you do not need to complete this final section.

Type of home:*

Total number of rooms (all uses):*

Approximate year of build:*

Please mention any special features (eg thatched roof) if any:

Company registration details

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