S1 Are you the male or female head of the household? (This is any male or female adult that shares/has responsibilities for the household. In a household with children it could be the mother, father, or both.) Male head of the household Female head of the household Female, not head of the household Male, not head of the household [TERMINATE IF CODE 3 OR 4] S2. What is your age? (Please select one response in years) [DROP DOWN BOX. SHOW: Under 18, 18, 19, 20 etc. through 99, Prefer not to say] [TERMINATE IF UNDER 18 OR PREFER NOT TO SAY] S3. In which state do you currently reside? [DROP DOWN BOX SHOWING STATE. USE THIS TO CREATE CENSUS REGION QUOTAS] Q1. In your primary residence, do you have? (Select all that apply and write in provider) Electricity (Specify Provider): [SETUP LIKE AN OTHER WITH A SPECIFY] Natural Gas (Specify Provider): [SETUP LIKE AN OTHER WITH A SPECIFY] Other Fuel (Propane, Oil, etc.) (Specify Provider): [SETUP LIKE AN OTHER WITH A SPECIFY] None of these - VALIDATE Q2. Please indicate the type of heating system primarily used to heat your home or apartment. Wood furnace/stove Central, warm air furnace Heat pump Electric baseboard or room heaters Steam or hot water system (baseboard or radiators) Other Don t know Don t have heating system [ASK Q3 IF HAVE HEATING SYSTEM AT Q2 (NOT CODE FOR DON T HAVE OR DON T KNOW ). OTHERWISE, SKIP TO Q4.] 1
Q3. What type of fuel does your primary heating system use? Natural gas Oil Kerosene LP/Propane Electricity Wood Other Don t know Q4. Please indicate the primary type of cooling equipment used in your home or apartment. Window or wall mounted air conditioner unit Ceiling/room/whole house fans Central air conditioner Other Don t know Don't have cooling system [IF WINDOW OR WALL-MOUNTED AIR CONDITIONING UNIT AT Q4 ASK Q4a, OTHERWISE GO TO Q5] Q4a. If you have window or wall-mounted cooling units, how many do you have? 1 2 3 4 5+ Q5. Which of the following are you planning on adding or replacing in the next 12 months? Heating system Cooling system Water heater None VALIDATE Q6a. Please indicate which of the following items you have in or around your home. 2
Stand-alone freezer [ASK Q6b IF SELECTED] Refrigerator [ASK Q6b IF SELECTED] Front-loading washing machine Top-loading washing machine Electric clothes dryer Gas clothes dryer Programmable thermostat [ASK Q6d IF SELECTED] Electric space heater [ASK Q6b IF SELECTED] Point-of-use surge protector [ASK Q6b IF SELECTED] Whole-house surge protector Light timers (including outdoor) Water heater [ASK Q6c IF SELECTED] Outdoor propane grill Solar electric (PV) panels Jacuzzi or hot tub Home swimming pool (above or below ground) Pool pump timer Water well with electric pump None of these - VALIDATE [LIST ITEMS MENTIONED AT Q6a] Q6b. Please indicate how many of each item you have in or around your home. Banner 1 2 3+ Stub Stand-alone freezer Refrigerator Electric space heater Point-of-use surge protector [ASK IF WATER HEATER SELECTED AT Q6a] Q6c. Please indicate the primary type of water heater used in your home. Natural gas or propane water heater Electric water heater Tankless natural gas or propane water heater Tankless electric water heater Solar water heater 3
[ASK IF PROGRMAMBLE THERMOSTAT SELECTED AT Q6a] Q6d Have you ever used the programming features of your programmable thermostat to do the following? Programmed it in the winter to go to a lower temperature while people are sleeping or out of the house Programmed it in the summer to go to a higher temperature when people are out of the house None of these - VALIDATE Q7a. Each of the following programs and services is or may soon be offered by your energy utility(ies). Please indicate which of these services your household has or currently subscribes to through an energy utility. SPECIAL RATES, BILLING AND CUSTOMER SERVICES: Automatic Monthly Withdrawal from Checking Automatic Monthly Withdrawal from Credit Card Balanced or Budget Billing: Pay approximately the same amount every month, with periodic balancing charges (every few months or once per year) that correct for under-payment or over-payment. Fixed or Flat Bill Plan: Pay the same energy bill amount every month regardless of use for an agreed upon amount of time; usually one year with no make-up bill or refund at the end of the term Real-Time Pricing: Electricity prices that vary hourly based on market conditions Time-of-Use (or Time of Day) Rates: Electricity prices that vary by time of day with lower rates for energy used at off-peak times of the day (e.g. nights and weekends), higher rates during peak times (e.g. weekday afternoons) Load Management: Discount for installing device that interrupts high energy use appliances such as air conditioning units when demand is high Pre-Paid Billing: Consumers are required to pay for electric service prior to delivery. As consumers use electricity, their credit balance is reduced each day until either the balance is exhausted or additional payments are added to their balance ADDITIONAL FEE SERVICES HVAC Inspection & Maintenance: Periodically, a certified technician will provide comprehensive maintenance and repair service for your central heating, ventilation and air conditioning (HVAC) equipment GREEN AND RENEWABLE ENERGY SERVICES Green Energy: Pay an additional amount on your energy bill to buy from or support renewable energy resources such as wind, solar, biomass, etc. Carbon Offset: Pay an additional amount on your monthly bill to support environmental projects that reduce carbon emissions. WARRANTY PROTECTION HVAC Warranty: Covers repair/replacement of your heating, ventilation or air conditioning (HVAC) equipment... Water Heater Warranty: Covers repair/replacement of gas or electric water heater Major Household Appliance Warranty: Covers repair/replacement of major household appliances, such as refrigerator or washing machine Power Surge Warranty: Coves damage caused by power surges, including those caused by lightning Home Wiring Warranty: Covers any problems with the electricity systems in the home None of these - VALIDATE 4
Q7b. For each of these services your household does not currently have, indicate which service you are likely to purchase or subscribe to in the next 12 months if it were offered by your energy utility. Please remember that there may be a cost associated with some of these offerings. [LIST SERVICES DO NOT HAVE AT Q7a, INCLUDING NONE OF THESE.] Q8a Which of the following programs/services have you used through your energy utility in the past 12 months? Weatherization Service: An energy expert fixes air leaks around windows and doors, adds insulation, and does other things to make your home more energy-efficient Whole House Audit: Energy expert comes to your house and recommends energy efficient improvements... Online Energy Audit: Online tool in which you enter data about your home and receive customized advice on energy conservation Equipment Rebate: Provides rebates for purchasing energy efficient heating or cooling systems, water heaters and solar panels Appliance Rebate: Provides a rebate for purchasing energy efficient appliances Appliance Recycling Program Recycling older refrigerators and freezers, typically includes free appliance pick-up and a cash payment None of these VALIDATE Q8b. Which of the following are you likely to use through your energy utility in the next 12 months if available? Please remember that there may be a cost associated with some of these offerings. [LIST SERVICES AT Q8a, INCLUDING NONE OF THESE.] Q9 Have you received or applied for a rebate from your state or local government for any appliance or energy equipment this year? Yes No Q10. Did you buy any appliances, heating or cooling equipment, or lighting products in the past year that were Energy Star labeled or qualified? Yes No Don t Know Q11. How many compact fluorescent light bulbs (CFLs) is your household currently using? 0 1 5
2 3 4-5 6-10 11-15 16-20 21-25 26+ Q12a. Which, if any, of the following statements are motivations for you to conserve energy? Cut my energy costs and save money To improve the environment/reduce pollution I do not conserve energy VALIDATE (SKIP TO Q13) None of these VALIDATE (SKIP TO Q13) Q12b. Which of the following statements is the PRIMARY motivation for you to conserve energy? [LIST STATEMENT MENTIONED AT Q12a, IF ONLY ONE OPTION MENTIONED IN Q12a THEN AUTOCODE] Cut my energy costs and save money To improve the environment/reduce pollution _ [ASK IF Q1 = Electricity, OTHERWISE SKIP TO Q14] Q13. If all or part of your electricity could be provided by carbon neutral/green energy sources, which one would you prefer? Wind power Solar power Hydro-electric power (dams) Nuclear power Other Do not have a preference Q14. What types of energy saving improvements, if any, have you made to your home? Energy efficient window replacement Weather stripping and sealing of air leaks Added insulation Other None of these VALIDATE There are two new types of passenger vehicles being developed by car companies. One is an all-electric vehicle that runs only on electricity and batteries and can be recharged at home. Another is a plug-in 6
hybrid electric vehicle that can run on batteries and be charged at home, but also has a gasoline engine that kicks in when the batteries run out. Q15. If you were going to buy one of these new vehicles, which one would you prefer? Plug-in all-electric vehicle Plug-in hybrid (electric/gasoline) vehicle Unsure/Don t know Q16. How many miles do you drive in a typical day? 0 1-5 6-10 11-25 26-50 51+ Q17. If available when you next purchase a car, how likely are you to purchase an electric or plug-in hybrid electric vehicle? Definitely will Very likely Somewhat likely Not likely Definitely will not Q18. How many of each of the following items do you have in your home? Banner 0 1 2 3+ Stub Plasma TV LCD TV Standard Tube TV Cable Box DVR/TiVO DVD/BluRay Player Video Game Console (eg, Wii, XBOX, etc) Desktop Computer Laptop Computer Printer Wireless home network using wireless modem or router Home theater system Cell Phone/Smart Phone Back-up generator 7
(SMART METER DEFINITION) Many local utility companies are replacing old electricity meters with new smart meters. These smart meters allow the utility to read your meter remotely without the need to dispatch meter reader trucks. In addition it will give you online information tools about your own energy consumption. Consumers will be able to see their daily energy usage in real time and see how much energy each appliance in their home uses; giving you the ability to adjust your own energy consumption. Q19. Has your local energy provider communicated any of the services and benefits of a Smart Meter to you? Yes No Q20. If a Smart Meter was available from your local energy provider, how interested would you be in each of the following services to manage your energy consumption? Banner Very interested Somewhat interested Neutral Not very interested Not interested at all Stub See your daily and hourly household electricity usage online, on your cell phone, or on an in-home display See the energy use of each appliance in your home and remotely monitor them online, on your cell phone or with an in-home display Q21a. If Smart Meter services were available from you from your local energy provider, what would be a fair price to charge for these information services per month? I would pay $10 more per month [SKIP TO Q22a] I would not pay $10 more per month [CONTINUE TO Q21B] Q21b. If Smart Meter services were available from you from your local energy provider, what would be a fair price to charge for these information services per month? I would pay $5 more per month [SKIP TO Q22a] I would not pay $5 more per month [CONTINUE TO Q21C] Q21c. If Smart Meter services were available from you from your local energy provider, what would be a fair price to charge for these information services per month? I would pay $1 more per month [CONTIUE TO Q22a] I would not pay $1 more per month [CONTIUE TO Q22a] Q22a. What type of internet connection does your household have for personal or work use at home? 8
Dial-Up High Speed (DSL, Cable modem, Satellite Internet, WiMAX, Fiber optics, etc) Do not have internet access [VALIDATE, SKIP TO Q23] [ASK IF HAVE INTERNET ACCESS AT Q20 (DIAL-UP OR HIGH SPEED) OTHERWISE GO TO Q21] Q22b. On average, how many total hours per week do all members of your household access the Internet for personal use while at home? 0 1 2 3 5 6 10 11 20 21+ Q23. Please rate the overall performance of each of the following energy providers. If you have two providers for any service, please rate your primary provider. Banner [Q1 = ELECTRICITY] Electric utility [Q1 = NATURAL GAS] Natural Gas utility [Q1 = OTHER FUEL] Other Fuel provider (Propane, Oil, etc.) Stub Very good Good Neutral Poor Very Poor Q24. Do you have direct ownership of any electric or gas utility stocks (not including any owned through a mutual fund)? Yes No [ASK IF Q1 = Electricity, OTHERWISE SKIP TO Q26a] Q25. Please indicate how much you personally agree or disagree with each of the following statements about your electric utility. Banner Agree Strongly Agree Somewhat Neutral Disagree Somewhat Disagree Strongly 9
Stub My electric utility is reliable My electric utility delivers good customer service My electric utility acts in a supportive and responsible manner toward their customers and the community My electric utility is working hard to be environmentally friendly If given a choice of electric utility providers for my home, I would consider switching to another provider It is very important to me that my electric utility be as environmentally friendly as possible I have a positive image of my electric utility For the price, I think I get a good value from my electric utility My electric utility communicates effectively with me My electric utility offers programs and information to help me manage my energy use I feel like I have control over the energy costs in my home Q26a. Approximately, how much, including all taxes and fees, does your household spend per month during the summer months on each of the services listed below? (Write in average monthly summer bill for each service rounded to the nearest dollar. Please do not include dollar signs or decimals.) [SHOW EACH STUB ONLY IF RESPONDENT HAS SERVICE AS SHOWN BELOW. INCLUDE TEXT BOX NEXT TO EACH STUB AS SHOWN BELOW.] Summer Electric bill: $.00 [IF Q1 = Electricity] Summer Natural Gas bill: $.00 [IF Q1 = Natural Gas] Summer Other Fuel bill: $.00 [IF Q1 = Other Fuel] Q26b. Approximately, how much, including all taxes and fees, does your household spend per month during the winter months on each of the services listed below? (Write in average monthly winter bill for each service rounded to the nearest dollar. Please do not include dollar signs or decimals.) [SHOW EACH STUB ONLY IF RESPONDENT HAS SERVICE AS SHOWN BELOW. INCLUDE TEXT BOX NEXT TO EACH STUB AS SHOWN BELOW.] Winter Electric bill: $.00 [IF Q1 = Electricity] Winter Natural Gas bill: $.00 [IF Q1 = Natural Gas] Winter Other Fuel bill: $.00 [IF Q1 = Other Fuel] Q27. What percentage of your monthly household income goes toward paying your energy/utility bills? <5% 6%-10% 11%-15% 16%-20% 21%-50% 51% or more 10
Q28. I prefer my energy provider to contact me about their services (ways to save energy, billing options, etc) via: Postal mail Email Telephone/Cell phone Cell Phone Text Their website Social media (Twitter, Facebook, MySpace, etc.) Blogs Q29. Please indicate which of these online services you have used in the past 12 months from your home energy provider. Use Internet To View utility account status/bill Monitor energy consumption/use Connect/establish/transfer service Order new utility products or services Obtain utility product/service information Submit a utility customer service question Input meter reading information Register/set-up your utility account Schedule a utility service appointment Check status of a utility service order or repair Receive monthly utility bill via e-mail Find energy efficiency information/resources Make utility payment online Online/live chat with utility service rep Report power outages None of the above VALIDATE Q30. Please indicate which of the following ways you have paid an energy utility bill in the past 12 months. At a walk-in customer service center (e.g., store or office location) Automatic payment (debit through bank account or credit card) Online through the utility website Online through other website such as bank or Paytrust.com, etc. Over the phone with an automated system At a stand alone kiosk in a mall or other public location Over the phone with a live service representative Through the mail None of the above VALIDATE 11
Q31. Listed below are a number of statements about energy. Please indicate how much you personally agree or disagree with each statement. (Select one across for each) Banner Agree Strongly Agree Somewhat Disagree Somewhat Disagree Strongly Stub I am willing to pay more for something if it is better for the environment I am willing to change my energy consumption behavior to save money on my energy costs I am willing to change my energy consumption behavior due to environmental concerns Q32. In what year, approximately, was your primary residence built? Please answer regardless of whether you rent or own. Before 1960 1960 1979 1980 1999 2000 2005 2006 or after Q33. How long have you lived at your present residence? Less than a year 1 year 2 years 3 years 4 years 5 years 6 years 7 years 8 years 9 years 10 years 11-15 years 16-20 years 21-25 years 26-30 years Over 30 years Prefer not to say 12
Q34. Please indicate which of the following applies to your household. My household has Not moved in the past 12 months Moved in the past 12 months within the same neighborhood Moved in the past 12 months within the same county Moved in the past 12 months within the same state Moved in the past 12 months outside the state Q35. Does anyone in your household: Run a business from home (including freelance and contract work)? Telecommute regularly (work at home more than 8 hours per week)? Travel for work more than once a month outside of the city/town you live in? None of the above VALIDATE Q36. How many persons live in your household for at least six months of the year? Please include yourself in that number. (write in # of persons) Q37. Including yourself, how many members are there who are (write in # for each) Under 6 years of age 6-12 years of age 13-17 years of age 18 years of age or older Prefer not to say - VALIDATE Q38. What is your marital status? Are you... Married Widowed Divorced/ Separated Single/ Never married Prefer not to say 13
Q39. What is the highest level of education you have completed? Grade school Some high school Graduated High School Some College Graduated College Post College Graduate Prefer not to say Q40. In a typical week, how many hours do you work for pay? Under 30 hours 30-34 hours 35 hours or more Not employed for pay [ASK Q41 IF EMPLOYED FOR PAY AT Q40. IF NOT EMPLOYED FOR PAY TO Q42] Q41. Please choose the option below which best describes your primary occupation. (Select one) Professional Management/Business/Finance Office/ Administrative support Sales Service Farming/ Fishing/ Forestry Construction/ Extraction Installation/ Maintenance/ Repair Production Transportation/ Material Mover Military Student Prefer not to say - VALIDATE [ASK Q42 IF NOT EMPLOYED FOR PAY AT Q40. OTHERWISE, SKIP TO Q42] Q42. If you are not employed for pay, are you a 12 Student 13 Retired 14 Unemployed/temporarily laid off 15 Housewife/Househusband/Not in labor force 00 Prefer not to say - VALIDATE 14
Q43. Which of the following best describes the total yearly income of all members of your household before taxes? Under $10,000 $10,000 to $14,999 $15,000 to $19,999 $20,000 to $24,999 $25,000 to $29,999 $30,000 to $34,999 $35,000 to $39,999 $40,000 to $49,999 $50,000 to $59,999 $60,000 to $74,999 $75,000 to $99,999 $100,000 to $124,999 $125,000 to $149,999 $150,000 to $199,999 $200,000 to $249,999 $250,000 to $299,999 $300,000 to $399,999 $400,000 to $499,999 $500,000 or more Prefer not to say - VALIDATE Q44. Which statement below describes the type of residence in which you live? One family house Building for two families Building for three of more families Mobile home or trailer Prefer not to say - VALIDATE Q45. Do you rent or own your present residence? Own Rent/Lease Campus housing Other Prefer not to say - VALIDATE Q46. What is the approximate square footage of your current residence? (Write in approximate square footage rounded to the nearest whole number. Please do not include decimals.) [INCLUDE TEXT BOX] 15
Q47a. Please indicate if any of the following describe your household. Purchased a home/condo in the past 12 months Plan to purchase a home/condo in the next 12 months None of these - VALIDATE [ASK Q47b IF CODE Purchased in last 12 months AT Q47a. OTHERWISE, GO TO Q48a] Q47b. What kind of home did you purchase? New construction A previously lived in home Q48a. Are you of Hispanic or Latino origin or descent? Yes No Prefer not to answer [ASK Q48b IF YES TO 48a. OTHERWISE GO TO Q49.] Q48b. Are you.. Central/South American Mexican-American Puerto Rican Cuban Other Hispanic/Latino Not Hispanic Prefer not to say - VALIDATE Q49. Are you.. White Black/ African-American Asian/Pacific Islander Other Prefer not to say - VALIDATE 16
Q50. Which of the following best describes your political mindset? Conservative Moderate Liberal Other THANK YOU SO MUCH FOR YOUR HELP WITH THIS STUDY. 17