Surge Study Pre- Survey- confidential



The survey takes 10-15 minutes. Please fill out the survey for your most used residence. For the remainder of the survey, we refer to this residence as your home. If you live in an apartment complex or multi-unit building, your home is only your unit except where noted. We refer to your household as you and any people living permanently in your home. 

Your Home

1. Zip code of the home where the device will be installed * 5-digits, such as 94043

2. What type of building do you live in? *

a) Single-family detached house – 1 story

b) Single-family detached house – 2 stories

c) Single-family detached house – 3 or more stories

d) Townhouse, duplex, or row house (shares exterior walls with neighboring unit, but not a roof or floor)

e) Apartment or condominium (2 – 4 units)

f) Apartment or condominium (5 or more units)

g) Mobile home

h) Other (Describe: ________________________________)

3. Do you own or rent this home?

Own / buying Rent / lease

4. Approximately what year was this residence built?

a) Don’t know

b) Before 1940

c) 1940-1970

d) 1971-1980

e) 1981-1990

f) 1991-2000

g) 2001- 2010

5. How many bedrooms are in your home? (Count all bedrooms even if room is not used as a bedroom)

a) No bedrooms (studio apartment)

b) 1 bedroom

c) 2 bedrooms

d) 3 bedrooms

e) 4 bedrooms

f) 5 bedrooms

g) 6 bedrooms

h) 7 bedrooms

i) 8 bedrooms

j) 9 bedrooms

k) 10 bedrooms

l) More than 10

6. For each of the following categories, how many people, including you, usually live in this home?

0 1 2 3 4 5 6 7 8 Over 8

a) Children (5 & under)

b) Children (6 – 12)

c) Children (13 – 18)

d) Adults (19 – 35)

e) Adults (36 – 65)

f) Seniors (over 65)

g) Pets (cats and dogs only)

7. Is there normally someone at home during the day (exclude pets)?

1. On weekdays (Monday-Friday) Yes No

2. On weekends (Saturday & Sunday) Yes No

Heating and Cooling

8. What type of fuel do you use for each of the following in your home?

(Choose all that apply. For example, if you use more than one heating system, mark all the fuel types used by those heating systems. Do not include coin-operated machines or machines in common areas that serve more than one household.)

|Fuel Use of … |DO NOT HAVE |GAS |ELECTRIC |OTHER: |

| | | | |_____________ |

|Heating system | | | | |

|Water heating system | | | | |

|Oven | | | | |

|Cooktop, Stovetop, range | | | | |

|Spa or hot tub | | | | |

|Pool | | | | |

|Clothes dryer | | | | |

9. What is the temperature setting for your heating thermostat for each time period? (Choose one answer for each time period. Provide the average setting if it varies.)

0 I do not have a heating system(s)

[Dropdowns Off     Below 55F   Each single degree between these Over 85F]

Time Period

a) Morning (6am–9am)

b) Day (9am–5pm)

c) Evening (5pm–9pm)

d) Night (9pm–6am)

e) When no one is home

 

10. Please indicate how often your air conditioning/cooling unit(s) is/are turned on during the summer. (Choose one answer for each time period.)

0 I do not have an air conditioning / cooling system(s)

Never Rarely Sometimes Often Always

(1-2 days (3-4 days (5-6 days (7 days

per week) per week) per week) per week)

Time Period

a) Morning (6am–9am)

b) Day (9am–5pm)

c) Evening (5pm–9pm)

d) Night (9pm–6am)

Miscellaneous Appliances

11. How many of each of the following appliances or equipment do you use in your home? (Fill in all that apply. Do not include coin-operated machines or items in common areas that serve more than one household.)

Number of Appliances

None One Two Three or more

a) Dishwasher

b) Washing machine

c) Clothes dryer

d) Terrarium or aquarium

e) Electric portable heater

f) Spa, hot tub or pool

g) Television(s) - plasma

h) Television(s) - non plasma (color)

i) Personal computer(s) (Laptops and desktops)

j) Computer printer/s

k) Game devices (such as Xbox, Playstation, Wi)

l) Other ____________

Energy Actions

12. For each action please indicate whether it has been done. ( Use the not relevant /don’t know category when you could not do the action indicated because you do not have the appliance in your home or unit (e.g., you do not have a pool or hot tub or it is in a common area) or do not know. Do not include coin-operated machines or items in common areas that serve more than one household.)

|Home energy Actions |This has been |Has not been |Has not been done and |Not relevant/don’t |

| |done |done but I |I do not intend to do |know |

| | |intend to do |this | |

| | |this | | |

|Install compact fluorescent lights (CFL) in more than half of your light | | | | |

|fixtures (the energy efficient “squiggly” bulbs) | | | | |

|Increased refrigerator temperature to save energy | | | | |

|Reduced water heater temperature to save energy | | | | |

|Install one or more of the following: low flow shower heads, stop action | | | | |

|shower heads, or an electric hot water heater switch | | | | |

|Install lighting technology that can save energy (e.g., timers, dimmers, or | | | | |

|motion detectors) | | | | |

|Install energy monitoring and feedback device (e.g., TED, Kill-a-Watt) | | | | |

|Install programmable thermostat | | | | |

|Use power strips to help turn off electronics and small appliances | | | | |

|Sign up for energy reduction program with your utility company | | | | |

|Have a home energy audit | | | | |

|Clean heating filters regularly | | | | |

|Clean air conditioning filters regularly | | | | |

|Caulk and weather strip windows and/or doors | | | | |

|Purchase an Energy Star refrigerator | | | | |

|Purchase an Energy Star Clothes Washer | | | | |

|Purchase an Energy Star Clothes Dryer | | | | |

|Install Energy Star air conditioning | | | | |

|Install a more energy efficient heating system in your home | | | | |

|Install insulating blanket for home water heater | | | | |

|Install or upgrade insulation in attic/ceiling/roof/walls/floor/basement | | | | |

|Install energy efficient windows | | | | |

|Install solar panels (photovoltaics) | | | | |

|Install solar hot water | | | | |

|Reduce the amount of time the hot tub filter runs | | | | |

|Reduce the amount of time the pool filter runs | | | | |

13. Over the past three months how often have you and your household members done the following: (Use the not relevant category when the appliance indicated is a coin-operated machine or is in a common area that serves more than one household or if you or no one in your household does performs the behavior listed.)

|Energy behaviors |Less than 20% |About 20% to |About 40% |About 60% to |About 80% to |Not |

|How often do you and members of your household perform the |of the time |40% of the time|to 60% of |80% of the |100% of the |relevant |

|following behaviors? | | |the time |time |time | |

|Turn off household computers when not in use | | | | | | |

|Turn off the TV when you were the last person to leave a | | | | | | |

|room | | | | | | |

|Turn off gaming and entertainment devices such as, Xbox and| | | | | | |

|DVD players when you were the last person to leave a room | | | | | | |

|Turn off the lights when you were the last person to leave | | | | | | |

|a room | | | | | | |

|Turn off power strips when not in use | | | | | | |

|Turn off air conditioning when no one is home | | | | | | |

|Wear warm clothes to use less heat | | | | | | |

|Fill the dishwasher to capacity before washing | | | | | | |

|Wait to wash laundry until you have a full load | | | | | | |

|Wash and rinse your laundry in cold rather than warm or hot| | | | | | |

|water | | | | | | |

|Dry clothing in the dryer for 45 minutes or less | | | | | | |

|Dry clothes on a clothes line, rack, or hangers instead of | | | | | | |

|in the dryer | | | | | | |

|Wash and dry laundry in off peak times | | | | | | |

|Take showers that lasted 5 minutes or less | | | | | | |

|Reduce use of the pool heater | | | | | | |

|Arrange daily meal cooking schedule to avoid peak period | | | | | | |

|hours | | | | | | |

15. On a scale of 1-100 how confident are you that you and your household members could perform the following actions 75%-100% of the time?

| | |

|Turn off household computers when not in use | |

|Turn off the lights when you were the last person to leave | |

|a room | |

|Dry clothes on a clothes line, rack, or hangers instead of | |

|in the dryer | |

|Wash and dry laundry in off peak times | |

Energy Information

14. How do you typically pay for your energy/electricity bill?

a) I don’t pay an electricity bill (e.g., it is included in my rent)

b) Online at utility’s website

c) Online at financial services website

d) Payment agency, machine, or utility branch office Auto-deduct

e) Send to the utility in the mail

f) Call-in and pay

g) I don’t know (e.g., someone else pays it and I don’t know how they pay it)

15. How often do you currently look at an energy monitoring and feedback website or display?

a) I do not have an electricity monitoring and feedback system

b) Hardly ever

c) Once a month

d) 2-3 times a month

e) Once a week

f) Several times a week

g) Daily

h) A few times a day

16. Without looking at your energy bill, what is your best estimate of your next month’s energy bill?

$______________

17. Would you say that your above estimate of next month’s energy bill is :

a) Very accurate (plus or minus 10%)

b) Accurate (plus or minus 20%)

c) Somewhat accurate (plus or minus 30%)

d) Not accurate (plus or minus 50%)

18. What is the highest electricity rate you pay per kilowatt hour? Give your best estimate.

[ ] cents/kilowatt hour

[ ] don’t know

19. Indicate how much energy you think each of the following appliances uses per hour. Take your best guess.

|Appliance |One of lowest |Medium/ |Medium (500-1000 |Medium/ |One of highest |

| |electricity consumers (0-200 |Low (200-500 watts)|watts) |High (1000-3000 |electricity consumers (3000+ |

| |watts) | | |watts) |watts) |

|Plasma TV per hour | | | | | |

|Oven per hour | | | | | |

|Dishwasher per hour | | | | | |

|Laptop computer per hour | | | | | |

|Refrigerator per hour | | | | | |

20. In the past three months, how often have you done the following? (Use not relevant if the item is not possible.)

|Communication activities |Hardly ever |Once a |2-3 times a month |Once a |Several times a week |Daily |Not relevant |

| | |month | |week | | | |

|Monitor my electricity use by looking at my | | | | | | | |

|account on utility company’s website | | | | | | | |

|Monitor my electricity use by looking at my | | | | | | | |

|paper bill | | | | | | | |

|Search the internet for ways to reduce my | | | | | | | |

|energy use | | | | | | | |

|Read newspaper articles about energy use and | | | | | | | |

|it’s impact | | | | | | | |

|Attend to television stories about energy use | | | | | | | |

|and impact | | | | | | | |

|Discuss household energy use with adults in my| | | | | | | |

|household | | | | | | | |

|Discuss household energy use with children in | | | | | | | |

|my household | | | | | | | |

|Discuss household energy use with work | | | | | | | |

|colleagues | | | | | | | |

|Discuss household energy use with people other| | | | | | | |

|than those in my household and colleagues | | | | | | | |

Beliefs

21. There are many reasons why people want to reduce their energy use. How important is each of the following to you to reduce your energy use?

1 - Not at all important 2 3 4 5 - Very important

a) Saving money

b) Reducing energy use

c) Being a good citizen of the world

d) Local air pollution

e) Global warming

f) Energy security

g) Doing the moral thing

h) Acting in accordance with people I respect

22. There are many reasons why people may want to visualize their real time energy use. Indicate how important the following reasons are to you. If energy visualization is not important to you pick "Not at all important" for all questions

1 - Not at all important 2 3 4 5 - Very important

a) To know how much energy is being used in my home per day or per week

b) To know which appliances consume the most energy

c) To see how my household’s actions affect energy use over time

d) To see how my energy use compares to others

e) To communicate with others about my energy use

f) To better forecast my future energy bills

g) Because trying new technology is interesting

h) Other: _____________

23. How activated or excited do you feel when you think about your energy use?

1 - Not at all excited 2 3 4 5 6 7 - Extremely excited

24. In your estimation what percent of the following groups are working to conserve their energy use?

|Percent of members conserving energy |0-20% |21-40% |41-60% |61-80% |81-100% |

|Members of my household | | | | | |

|My friends outside of my home (excluding work colleagues) | | | | | |

|My work colleagues | | | | | |

|People in my neighborhood | | | | | |

 Household Information

25. What was the highest level of education completed by any head of household in the home?

a) Some high school (grades 9 – 12)

b) High school graduate

c) Some college/trade/vocational school

d) College graduate

e) Postgraduate masters degree

f) Postgraduate doctoral or professional degree

26. What is your birth year? [Dropdown]

27. Are you..

1. Male

2. female

28. How would you describe your ethnicity? (Fill in all that apply.)

a) American Indian, Alaska Native

b) Asian or Pacific Islander

c) Black, African American

d) Hispanic / Latino

e) White, Caucasian

f) Other

g) Prefer not to answer

29. Please check the range that best describes your household’s total annual income.

a) Less than $10,000

b) $10,000 – $49,999

c) $50,000- $ 74,999

d) $75000 – $99,999

e) $100,000- $149,999

f) $150,000 - $249,999

g) 250,000 or more

30. Politically, do you think of yourself as...

a) Democrat

b) Leaning toward the Democratic Party

c) An Independent

d) Leaning toward the Republican Party

e) Republican

f) Apolitical/Other

g) Prefer not to answer

31. Please indicate how much you agree or disagree with the following statements.

1 - Strongly disagree 2- Disagree 3- Neither agree nor disagree 4- Agree 5- Strongly agree

I am fascinated by new technology

Others consider me to be technology savvy

I spend my free time interacting with technology (e.g., trying out, building, or playing with electronics; programming; or using software)

|Do you or anyone in your household |Yes |Intend to do |Do not do and |

| |Currently | |do not intend |

| |Do | |to do |

|Donate money to an environmental organization | | | |

|Volunteer or are a member of an environmental organization | | | |

|Base your purchases on a company’s environmental stance | | | |

|Vote for political candidates based on their environmental leanings | | | |

|Have an occupation aimed at improving the environment | | | |

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