Register Your Household

Water Sense 2010: Free Low-flow Showerhead Program for Castlegar and Kaleden – please click here

Take the Residential Energy-Wise survey below and receive your FREE home energy-efficiency item in the mail - no strings attached. We completely respect your privacy. You are under no obligation by using this form. Your information will not be shared or distributed in any manner. Survey results are used for statistical summaries only.

*Indicates required fields.

*First Name:

A value is required.

*Last Name:

Please enter your last name. Please enter your last name.

*Email:

Please enter your email address.Invalid format (eg: you@you.com)

*Address:

Please enter a valid street address.

*City:

Please enter your city.

*Province:

Please select a valid item. Please select your Province.

*Postal Code:

Please enter your Postal Code.

*Your Status:

Please select an item. Please select a valid item.

*Number of people living full time in your home:

A value is required. Adults 19 & Over
Children under 19

*Type of Home:

Please select a valid item. Please select an item.

*Age of Home in Years:

Please select a valid item. Please select an item.

*Primary Heat Source:

Please select a valid item.Please select an item.

If Gas, then what kind of Thermostat do you use?

Secondary Heat Source - Check all that Apply:

Space Heater
Fireplace - Gas / Electric / Wood
Geothermal
Propane
Other

Electricity Supplier:

BC Hydro
Fortis
Nelson Hydro
Don't Know

Natural Gas Supplier:

No Gas
Terasen
Direct Energy
Don't Know

How many lightbulbs in your household:

		Incandescent (regular lightbulbs)
		Flourescent
		Halogen
		CFLs

What kind of lightswitches do you currently have??

		Standard switch
		Decora switch

Do you feel drafts in any part of your home when it's cold outside?

Yes
No
Don't Know

If so, where?

*Number of refrigerators in your household:

A value is required.

Number of ENERGY STAR refrigerators in your household:

Your cooking stove is:

Energy Star
Non Energy Star - NEWER
Non Energy Star - OLDER

*Your cooktop is:

Please select a valid item. Please select an item.

Washer & Dryer:

Hot Water Heater:

Insulation in Attic (if you have one):

Type of Windows:

Newer Older
Single Pane Double Pane

Energy Star Rated: Yes No

*Number of showers in your home

A value is required.

Number of low-flow showerheads in your home

Rate your knowledge of energy-efficiency for your home 1 - 10
(1 don't really know, 10 very well informed)


1	2	3	4	5	6	7	8	9	10

Rate your knowledge of climate change occurring
now in and forecasted for BC


1	2	3	4	5	6	7	8	9	10

Are You (check all that apply):
Seniors Low Income Household Native Other

Do you want to receive additional Free household energy-saving items if they become available in your area, Climate Sense e-newsletters and money-saving offers from Climate Sense partners?
Yes Please No Thank You

If you’ve pressed the ‘submit’ button more than once - please scroll up to review that you’ve answered all the required questions, then hit ‘submit’ again. Thank you.

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