Redcliffe Carbon Challenge monitoring form
*Your name:*Your address:
*Postcode:
*Email:
*Phone:
*Number of adults: / *Number of bedrooms:
*Number of children:
Home type:
Detached bungalow / Maisonette
Detached house / Mid-terrace house
End terrace house / Semi-detached bungalow
Flat / Semi-detached house
What is your main fuel type?
Biomass / How old is the property?
Coal / 1930-1995
Electricity / Post 1995
Gas / Pre 1930
LPG
Oil
What type of heating do you have? / Do you have any insulation?
Back boiler / Cavity wall
Boiler (5-10 years old) / Loft insulation
Boiler (condensing) / Double glazing
Boiler (less than 5 years old) / Draught exclusion
Boiler (12-15 years old) / Underfloor insulation
Room heaters
Warm air system / Do you have a green electricity tariff?
yes no
Modern storage heaters (slim line) / How many lightbulbs do you have?
Old storage heaters (large volume) / In total
Low energy bulbs
Other electric heaters
Do you own any renewable energy generating technologies at home? / *By completing this form you are giving your permission for us to contact you about the Redcliffe Carbon Challenge Project and any energy advice you have requested. Your data will be shared with our funders but will not be shared with any other parties or used for any other purposes.
Biomass heating
Ground source heat pump
Hydroelectric power
Photovoltaic solar panels
Solar water heating / Signature:
Wind turbine
*Previous energy use / Date / Electricity (kWh) / Gas (and units*)
Total usage in units used in the 12 months until date / 12 month period up to: / m3 / f3 / hcf / thm / l
*Current energy reading / Date / Electricity (kWh) / Gas (and units*)
This year – your actual meter reading(s) / First reading: / m3 / f3 / hcf / thm / l
* Cubic metres (m3) / cubic feet (f3) / 100s of cubic feet (hcf) / Therms (thm) / litres (l)
* Asterisked sections are essential information
Centre for Sustainable Energy Registerred Charity 298740