HOMEOWNER PROFILE FORM
Home Phone Number:
Where did you learn about Solar Home Energy Solutions?
Home Owner Goal(s):
I/we want to:
Reduce our Energy bill
Take advantage of NJ Rebate Program
Create "Green Power" and reduce pollution
With the money I/we save from lowering our Electric bill, I/we plan to:
Invest in other energy saving natural gas appliances, windows, insulation, etc.
Pay off other loans/bills
Increase monthly savings for (College, Retirement, etc.)
If a Solar Solution can meet your needs, when would you want your installation?
I/we have lived in our home for:
Approximate age of your home:
< 10 yrs
12 - 18 yrs
> 25 yrs
How many bedrooms?
How many bathrooms?
Our home is a:
Approximately how old is your roof?
< 5 yrs
< 10 yrs
> 10 yrs
> 15 yrs
What general direction does your roof face?
North & South
East & West
What percentage of your roof is shaded by tree on your property?
Are you willing to cut down trees that shade your roof?
Are there parts of your roof shaded by trees / structures that are not on your property?
From your most recent electric portion of your Energy Bill:
Monthly dollar amount charges for only electricity:
$75 - $85
$90 - $100
$100 - $115
$125 - $135
$135 - $150
Amount of electricity your home used:
How many years of Energy Bills we have to refer to for estimating our electric energy use?
Best day of the week and times to contact us:
Moorestown, NJ • (856) 255 - 5727