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The information gathered from this questionnaire will be used by Conformance Management Associates, LLC to determine areas of focus for energy saving opportunities. The answers you provide will allow us to identify areas of your operations where you can improve processes and reduce cost. Please complete this questionnaire as accurately as possible.

Company Name:     Type of Business:

Representative Name:      Phone number:       email: 

 
Lighting
 
What type of lighting is at your facility? Fluorescent
Compact Fluorescent
Incandescent
Halogen
If fluorescent, what type of lamp?
Does your business have automated lighting controls, sensors, or timers for rooms with minimal occupancy (e.q. conference rooms, bathrooms)? Yes  No
Is natural lighting used to reduce artificial lighting when present? Yes  No
Hot Water  
Do you use a tankless (hot water on demand) water heater? Yes  No
If no, is your hot water tank surrounded with an insulating blanket? Yes  No
Is your hot water heater controlled by a 7-day thermostat to turn off when not needed (such as on weekends or evenings)? Yes  No
At what temperature is the hot water heater set? F   C
Heating Ventilating and Air-Conditioning (HVAC)  
Does your HVAC system have a regular maintenance schedule? Yes  No
What regular maintenance is performed (e.g. air filters, tuning)?
Do you have a programmable thermostat to setback HVAC system for evenings and weekends? Yes  No
Do you use ceiling fans (cool in the summer, heat in the winter)? Yes  No
Is the building properly insulated for temperature control? Yes  No
Are all leaks of hot or cold air controlled? Yes  No
Are windows single or double paned? Single  Double
 Are window shades provided? Yes  No
Office Equipment  
Are your machines turned off whenever possible? Yes  No
Do your machines have energy saving software? Yes  No
If yes, is this software used regularly? Yes  No
Is office equipment cleaned and tuned regularly? Yes  No
If yes, how often?
Are copiers and printed set to 1-2 sided or double-sided options? Yes  No
Are copies run in batches to decrease the time spent in and out of high power mode? Yes  No
Are computers turned off when not in use? Yes  No
Does office equipment go into sleep mode when not in use? Yes  No
Production Areas  
Is heat provided from unit heaters or radiant heaters? Unit  Radiant
Are lighted areas controlled by motion sensors? Yes  No
Is production scheduled to reduce peaks in demand? Yes  No
Are vending machines turned down when not in use? Yes  No
Are production machines left on when not being used? Yes  No
Are exit signs LED or do they use light bulbs? LED  Bulbs
How many horsepower air compressors are in use? HP
Does the plant use any boilers for heat or power? Yes  No
Are electric motors well ventilated and properly sized for operations? Yes  No
Are all oven units properly controlled with temperature and insulation? Yes  No
Does the facility generate any electricity? Yes  No
Are process cooling systems properly filled and treated? Yes  No