Sample Thermal Comfort Survey This survey is intended to provide an assessment of the thermal comfort provided by this building to its employees. Answers to these survey questions provide an indication as to the performance of the buildings heating, ventilation, and air conditioning systems while providing direction for making improvements to systems in an attempt to provide a continual comfortable environment for building occupants. This survey is divided into four sections. Section 1 Background information. Section 2 Assessment of the current conditions in your space. Section 3 Assessment of the conditions in your space over the course of the winter months. Section 4 Assessment of the conditions in your space over the course of the summer months. Thank you for your participation. Section 1 Background Information How many years have you been working in this building? Less than 1 year 1-2 years 3-5 years More than 5 years On which floor is your office located? Second Floor Third Floor Fourth Floor Fifth Floor Sixth Floor What direction does your office face? (check any that apply) East West Northwest Corner Northeast Corner Southwest Corner Southeast Corner
Which of the following do you use to adjust or control your office environment? (Check any that apply customize this list based on options available to employees) Window blinds or shades Thermostat Portable heater Room air-conditioning unit Ceiling fan Windows Portable fan Adjustable air vents Other If other please describe Section Two Current Thermal Comfort The following questions refer to the current conditions / comfort level you perceive at the time you are completing this survey. Date: Time: What season is it now? Winter Summer Spring Fall What is the approximate temperature outside today? (Degrees Fahrenheit) F How would you describe the weather outside today? Clear skies / sunny Overcast Partly cloudy
What is your current thermal comfort: 1. Hot 2. Warm 3. Slightly Warm 4. Neutral 5. Slightly Cool 6. Cool 7. Cold How satisfied are you with the temperature in your office today? Very Satisfied Very Dissatisfied If you are dissatisfied, how would you best describe the source of your discomfort? (check all that apply) Too much air movement Not enough air movement Incoming sun Drafts from windows Drafts from vents Hot/cold surrounding surfaces (floor, ceiling, walls or windows) Heating/cooling system does not respond quickly enough to the thermostat Other. Please Describe: Are any of the following currently operating in your office? Computers / lap tops Lighting Other. Please Describe: Copier / Fax machine Dishwasher
Clothing: Please place a check by the articles of clothing that you are wearing (this is an indication as to the comfort level of your interior space): Top Short Sleeve Shirt Long Sleeve Shirt Sweater Vest Suit Vest Long Sleeve Sweater Long Sleeve Sweatshirt T-shirt Thermal Underwear Top Trousers Bottom Knee Length Skirt Walking Shorts Overalls Jeans Athletic Sweat Pants Ankle Length Skirt Thermal Underwear Bottoms How would you describe your activity level just prior to completing this survey? Seated Quiet Standing Relaxed Light Activity, Standing Medium Activity, Standing High Activity Section 3 Seasonal Comfort, Winter The following questions refer to your general perception of thermal comfort in your office / retail space throughout the winter months. In the winter months, how satisfied are you with the temperature in your office? Very Satisfied Very Dissatisfied
If you are dissatisfied would your describe the temperature as too hot or too cold? Too Hot Too Cold If you are dissatisfied, how would you best describe the source of your discomfort? (check all that apply) Too much air movement Not enough air movement Incoming sun Drafts from windows Drafts from vents Hot/cold surrounding surfaces (floor, ceiling, walls or windows) Heating/cooling system does not respond quickly enough to the thermostat Uneven temperature (some parts always hot while others always cold) Other. Please Describe: Are you satisfied with the acoustic performance of your office? (i.e. is your office too noisy from fans, vibrations, or ambient noise?) Generally Quiet Too Noisy Section 4 Seasonal Comfort, Summer The following questions refer to your general perception of thermal comfort in your office / retail space throughout the summer months. In the summer months, how satisfied are you with the temperature in your office? Very Satisfied Very Dissatisfied
If you are dissatisfied would your describe the temperature as too hot or too cold? Too Hot Too Cold If you are dissatisfied, how would you best describe the source of your discomfort? (check all that apply) Too much air movement Not enough air movement Incoming sun Drafts from windows Drafts from vents Hot/cold surrounding surfaces (floor, ceiling, walls or windows) Heating/cooling system does not respond quickly enough to the thermostat Uneven temperature (some parts always hot while others always cold) Other. Please Describe: