EIA-457A (Generic) National Pilot

RECS National Pilot

Questionnaire Specifications

Example

SASVAR1
ASK	All respondents
Question Text Yes No
NEXT	SASVAR2
PAPER	Comments about how paper mode may need to differ from Web.
PROMPT	Type of prompt (hard/soft/motivational) and text. NOTE: For all items that do not have a prompt specified, used default soft prompt of “Did you mean to leave this question blank? If yes, please click “No change, continue” to go to the next question or click “Change answer” to edit your response.”

STRUCTURAL CHARACTERISTICS

Please answer the following questions about the home at <sample address>. (Paper: Please answer the following questions about the home located at the address on the enclosed letter.)

TYPEHUQ
ASK	All respondents
Which best describes your home? Mobile home Single-family house detached from any other house Single-family house attached to one or more other houses (for example: duplex, row house, or townhome) Apartment in a building with 2 to 4 units Apartment in a building with 5 or more units
NEXT	If TYPEHUQ=1: PRIMRES If TYPEHUQ in(2,3): CELLAR If TYPEHUQ in(4,5): BASEAPT
PAPER
EDIT	Hard edit if respondent attempts to skip this question.
PROMPT	HARD: Please provide an answer to this question to continue.

BASEAPT
ASK	If TYPEHUQ in(4,5)
Is your apartment located in the basement of your building? Yes No
NEXT	PRIMRES
PAPER

CELLAR
ASK	If TYPEHUQ in(2,3)
Does your home have a basement? Yes No
NEXT	If CELLAR=1: BASEFIN Else: ATTIC
PAPER

BASEFIN
ASK	If CELLAR=1
Is any part of your basement finished? For this survey, a “finished” basement has finishing materials on the floor, ceiling, and walls. Yes No
NEXT	ATTIC
PAPER

ATTIC
ASK	If TYPEHUQ in(2,3)
An attic is a space just below the roof of your home where a person can stand up. Does your home have an attic? Yes No
NEXT	If ATTIC=1: ATTICFIN Else: STORIES
PAPER

ATTICFIN
ASK	If ATTIC=1
Is any part of your attic finished? For this survey, a “finished” attic has finishing materials on the floor, ceiling, and walls. Yes No
NEXT	STORIES
PAPER

STORIES
ASK	If TYPEHUQ in(2,3)
Not including basements or attics, how many stories does your home have? One story Two stories Three stories Four or more stories Split-level
NEXT	PRKGPLC1
PAPER

PRKGPLC1
ASK	If TYPEHUQ in(2,3)
Does your home have an attached garage? Yes No
NEXT	If PRKGPLC1=1: SIZEOFGARAGE Else: PRIMRES
PAPER

SIZEOFGARAGE
ASK	If PRKGPLC1=1
What is the size of your attached garage? One-car garage Two-car garage Three-or-more-car garage
NEXT	PRIMRES
PAPER

PRIMRES
ASK	All respondents
Is the home at <sample address> your primary residence? Your primary residence is the place where you live most of the year. Yes No
NEXT	KOWNRENT
PAPER	Instead of the fill: Is the home located at the address on the enclosed letter your primary residence? Your primary residence is the place where you live most of the year.

KOWNRENT
ASK	All respondents
Is your home - Owned by you or someone in your household Rented Occupied without payment of rent
NEXT	YEARMADERANGE
PAPER
PROMPT

YEARMADERANGE
ASK	All respondents
When was your home built? Before 1950 1950 to 1959 1960 to 1969 1970 to 1979 1980 to 1989 1990 to 1999 2000 to 2009 2010 to 2015 Don’t know
NEXT	OCCUPYYRANGE
PAPER
PROMPT

OCCUPYYRANGE
ASK	All respondents
When did your household move in? Before 1950 1950 to 1959 1960 to 1969 1970 to 1979 1980 to 1989 1990 to 1999 2000 to 2009 2010 to 2015
NEXT	VACANT
PAPER

VACANT
ASK	All respondents
During the past year, was your home vacant for one or more months? Yes No Don’t know
NEXT	SQFTEST
PAPER

SQFTEST
ASK	All respondents
About how many square feet is your home? Your best estimate is fine. _____ square feet {ALLOW RANGE 0 – 99,999}
NEXT	If TYPEHUQ in(2,3): SQFTINCB, SQFTINCA, SQFTINCG, SQFTINCN, SQFTNONE If TYPEHUQ in(1,4,5): BEDROOMS, NCOMBATH, NHAFBATH, OTHROOMS
PAPER

SQFTINCB, SQFTINCA, SQFTINCG, SQFTINCN, SQFTNONE
ASK	If TYPEHUQ in(2,3)
Which of the following areas are included in your estimate of <SQFTEST> square feet? Please select all that apply. Basement (SQFTINCB) Attic (SQFTINCA) Attached garage (SQFTINCG) I have at least one of these spaces but none are included in my estimate (SQFTINCN) My home does not have any of these spaces (SQFTNONE) Don’t know
NEXT	BEDROOMS, NCOMBATH, NHAFBATH, OTHROOMS
PAPER	Instead of the fill: Which of the following areas are included in your estimate of square footage in Question #12? Please select all that apply. Ask of all respondents. Respondents in mobile homes and apartments can select “My home does not have any of these spaces.”

BEDROOMS, NCOMBATH, NHAFBATH, OTHROOMS
ASK	All respondents
How many of the following types of rooms are in your home? If BASEFIN=1 or ATTICFIN=1:Include rooms in finished basements and finished attics. If none, please enter “0.” _____ Bedrooms (BEDROOMS) _____ Full bathrooms (A full bathroom includes a sink with running water, a toilet, and a bath or shower.) (NCOMBATH) _____ Half bathrooms (A half bathroom includes a sink with running water and either a toilet, a bath, or a shower.) (NHAFBATH) _____ Other rooms (Include kitchens, laundry rooms, living or family rooms, home offices, etc. Do not include hallways, closets, or rooms you already counted above.) (OTHROOMS) {ALLOW RANGE 0-30 FOR EACH}
NEXT	WALLTYPE
PAPER	Present “include” statement for all respondents.
PROMPT

WALLTYPE
ASK	All respondents
What type of material is the outside of your home made of? Select only one. If more than one material is used, please select the one used the most. Brick Wood Siding (aluminum, vinyl, or steel) Stucco Shingle (composition) Stone Concrete or concrete block Other/specify Don’t know
NEXT	ROOFTYPE
PAPER

ROOFTYPE
ASK	All respondents
What type of material is your home’s roof made of? Select only one. If more than one material is used, please select the one used the most. Ceramic or clay tiles Wood shingles/shakes Metal Slate or synthetic slate Shingles (composition or asphalt) Concrete tiles Other/specify Don’t know
NEXT	HIGHCEIL
PAPER

HIGHCEIL
ASK	All respondents
Most ceilings are about 8 feet high which is about a foot higher than a standard door. Are any of the ceilings in your home unusually high? Yes No
NEXT	DOOR1SUM
PAPER

DOOR1SUM
ASK	All respondents
How many sliding glass doors does your home have? Count each pair of sliding glass doors as one door. _____ sliding glass doors {ALLOW RANGE 0-50}
NEXT	WINDOWS
PAPER

WINDOWS
ASK	All respondents
About how many windows does your home have? 1 or 2 windows 3 to 5 windows 6 to 9 windows 10 to 15 windows 16 to 19 windows 20 to 29 windows 30 or more windows Don’t know
NEXT	TYPEGLASS
PAPER

TYPEGLASS
ASK	All respondents
Not counting storm windows, which best describes the glass in most of the windows in your home? Single-pane glass Double-pane glass Triple-pane glass Don’t know
NEXT	WINFRAME
PAPER

WINFRAME
ASK	All respondents
What frame material is used for most of the windows in your home? Wood Metal (aluminum) Vinyl Composite Fiberglass Other/specify Don’t know
NEXT	ADQINSUL
PAPER

ADQINSUL
ASK	All respondents
Which of these best describes the insulation level of your home? Well insulated Adequately insulated Poorly insulated Not insulated
NEXT	DRAFTY
PAPER

DRAFTY
ASK	All respondents
How often do you or other members of your household find your home too drafty? All the time Most of the time Some of the time Never
NEXT	UGASHERE
PAPER

UGASHERE
ASK	All respondents
Is natural gas from underground pipes available in your neighborhood? Yes No Don’t know
NEXT	If TYPEHUQ in(1,2,3): SWIMPOOL If TYPEHUQ in(4,5): RECBATH
PAPER

SWIMPOOL
ASK	If TYPEHUQ in(1,2,3)
Does your home have its own swimming pool? Yes No
NEXT	If SWIMPOOL=1: MONPOOL Else: RECBATH
PAPER	Do not use housing unit type skip. We expect people in apartment to say “no.”

MONPOOL
ASK	If SWIMPOOL=1
In the last year, how many months was your swimming pool in use? _____ months {ALLOW RANGE 0 - 12}
NEXT	If MONPOOL ge 1: FUELPOOL Else: RECBATH
PAPER

FUELPOOL
ASK	If MONPOOL ge 1
What fuel is used to heat the water in your swimming pool? None, my swimming pool is not heated Electricity Natural gas from underground pipes Propane (bottled gas) Fuel oil Solar Other/specify Don’t know
NEXT	RECBATH
PAPER

RECBATH
ASK	All respondents
Does your home have its own hot tub, spa, or Jacuzzi, other than a bathtub? Yes No
NEXT	If RECBATH=1: MONTUB Else: OUTLET
PAPER

MONTUB
ASK	If RECBATH=1
In the last year, how many months was your hot tub, spa, or Jacuzzi in use? _____ months {ALLOW RANGE 0 - 12}
NEXT	If MONTUB ge 1: FUELTUB Else: OUTLET
PAPER

FUELTUB
ASK	If MONTUB ge 1
What fuel is used to heat the water in your hot tub, spa, or Jacuzzi? Electricity Natural gas from underground pipes Propane (bottled gas) Fuel oil Solar Other/specify Don’t know
NEXT	OUTLET
PAPER

OUTLET
ASK	All respondents
Do you or any member of your household park a vehicle within about 20 feet of an electric outlet? Yes No
NEXT	ELECVEH
PAPER

ELECVEH
ASK	All respondents
Do you or any member of your household own or lease a plug-in electric vehicle? Yes No
NEXT	NUMFRIG
PAPER

MOTIVATIONAL PROMPT #1: Thank you for your participation so far! The next questions are about appliances in your home and will provide valuable information for this study.

APPLIANCES

NUMFRIG
ASK	All respondents
How many refrigerators are plugged-in and turned on in your home? Include refrigerators in basements or garages, even if they are only used occasionally, and also include compact refrigerators and wine chillers. If none, please enter “0.” _____ refrigerators {ALLOW RANGE 0-30}
NEXT	If NUMFRIG>0: SIZEFRI1 Else: NUMFREEZ
PAPER
PROMPT

SIZEFRI1
ASK	If NUMFRIG>0
What is the size of your most used refrigerator? Half-size or compact Small (17.5 cubic feet or less) Medium (17.6 to 22.5 cubic feet) Large (22.6 to 29.5 cubic feet) Very large (bigger than 29.5 cubic feet)
NEXT	If SIZEFRI1=1: AGEFRI1 Else: TYPERFR1
PAPER

TYPERFR1
ASK	If SIZEFRI1>1
Which of the following best describes your most used refrigerator? One door Two doors, freezer next to the refrigerator Two doors, freezer above the refrigerator Two doors, freezer below the refrigerator Three or more doors
NEXT	AGERFRI1
PAPER

AGERFRI1
ASK	If NUMFRIG>0
About how old is your most used refrigerator? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	ICE
PAPER

ICE
ASK	If NUMFRIG>0
Does your most used refrigerator have through-the-door ice service? Yes 0 No
NEXT	If NUMFRIG>1: SIZEFRI2 Else: NUMFREEZ
PAPER

SIZEFRI2
ASK	If NUMFRIG>1
What is the size of your second most used refrigerator? Half-size or compact Small (17.5 cubic feet or less) Medium (17.6 to 22.5 cubic feet) Large (22.6 to 29.5 cubic feet) Very large (bigger than 29.5 cubic feet)
NEXT	If SIZEFRI2>1: TYPERFR2 Else: AGERFRI2
PAPER

TYPERFR2
ASK	If SIZEFRI2>1
Which of the following best describes your second most used refrigerator? One door Two doors, freezer next to the refrigerator Two doors, freezer above the refrigerator Two doors, freezer below the refrigerator Three or more doors
NEXT	AGERFRI2
PAPER

AGERFRI2
ASK	If NUMFRIG>1
About how old is your second most used refrigerator? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	LOCRFRI2
PAPER

LOCRFRI2
ASK	If NUMFRIG>1
Where is your second most used refrigerator located? Basement Garage Outside Main floor of house Other/Specify
NEXT	NUMFREEZ
PAPER

NUMFREEZ
ASK	All respondents
How many stand-alone freezers are plugged-in and turned on in your home? If none, please enter “0.” _____ freezers {ALLOW RANGE 0-30}
NEXT	If NUMFREEZ>0: UPRTFRZR Else: STOVEN
PAPER

UPRTFRZR
ASK	If NUMFREEZ>0
Which of the following best describes your most used freezer? Upright Chest
NEXT	SIZFREEZ
PAPER

SIZFREEZ
ASK	If NUMFREEZ>0
What is the size of your most used freezer? Half-size or compact Small (17.5 cubic feet or less) Medium (17.6 to 22.5 cubic feet) Large (22.6 to 29.5 cubic feet) Very large (bigger than 29.5 cubic feet)
NEXT	AGEFRZR
PAPER

AGEFRZR
ASK	If NUMFREEZ>0
About how old is your most used freezer? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	STOVEN
PAPER

STOVEN
ASK	All respondents
Example Stove/Range How many stoves/ranges do you have in your home? A stove has both a cooktop and an oven. _____ stoves/ranges {ALLOW RANGE 0-9}
NEXT	If STOVEN>0: STOVENFUEL Else: STOVE
PAPER

STOVENFUEL
ASK	If STOVEN>0
What fuel does your most used stove/range use? Electricity Natural gas from underground pipes Propane (bottled gas) Other/specify
NEXT	COOKTUSE
PAPER

COOKTUSE
ASK	If STOVEN>0
In a typical week, about how many times is the cooktop part of your most used stove/range used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	OVENUSE
PAPER

OVENUSE
ASK	If STOVEN>0
In a typical week, about how many times is the oven part of your most used stove/range used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	STOVE
PAPER

STOVE
ASK	All respondents
Example Separate Cooktop How many separate cooktops do you have in your home? Count the entire cooktop, not the number of burners. Do not include cooktops that are attached to an oven. _____ cooktops {ALLOW RANGE 0-9}
NEXT	If STOVE>0: STOVEFUEL Else: OVEN
PAPER

STOVEFUEL
ASK	If STOVE>0
What fuel does your most used separate cooktop use? Electricity Natural gas from underground pipes Propane (bottled gas) Other/specify
NEXT	STOVEUSE
PAPER

STOVEUSE
ASK	If STOVE>0
In a typical week, about how many times is your most used separate cooktop used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	OVEN
PAPER

OVEN
ASK	All respondents
Example Separate Wall Oven How many separate wall ovens do you have in your home? (Do not include wall ovens that are attached to a cooktop.) _____ wall ovens {ALLOW RANGE 0-9}
NEXT	If OVEN>0: OVENFUEL Else: MICRO
PAPER

OVENFUEL
ASK	If OVEN>0
What fuel does your most used separate wall oven use? Electricity Natural gas from underground pipes Propane (bottled gas) Other/specify
NEXT	OVENUSE
PAPER

OVENUSE
ASK	If OVEN>0
In a typical week, about how many times is your most used separate wall oven used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	MICRO
PAPER

MICRO
ASK	All respondents
How many microwaves do you have in your home? _____ microwaves {ALLOW RANGE 0-9}
NEXT	If MICRO>0: AMTMICRO Else: OUTGRILLFUEL
PAPER

AMTMICRO
ASK	If MICRO>0
In a typical week, about how many times is your microwave used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	OUTGRILLFUEL
PAPER

OUTGRILLFUEL
ASK	All respondents
Does your household use an outdoor grill? Yes, natural gas grill Yes, propane grill Yes, charcoal grill No
NEXT	NUMMEAL
PAPER

NUMMEAL
ASK	All respondents
Which of the categories shown best describes how often hot food is usually cooked in your home? Three or more times a day Two times a day Once a day A few times each week About once a week Less than once a week Never
NEXT	TOASTER, TOASTOVN, COFFEE, CROCKPOT, FOODPROC, RICECOOK, BLENDER, APPOTHER
PAPER

TOASTER, TOASTOVN, COFFEE, CROCKPOT, FOODPROC, RICECOOK, BLENDER, APPOTHER
ASK	All respondents
Which of the following small kitchen appliances are used at least once a week in your home? Please select all that apply. Toaster (TOASTER) Toaster oven (TOASTOVN) Coffee maker (COFFEE) Crock pot or slow cooker (CROCKPOT) Food processor (FOODPROC) Rice cooker (RICECOOK) Blender or juicer (BLENDER) Other/specify (APPOTHER) None
NEXT	DISHWASH
PAPER

DISHWASH
ASK	All respondents
Does your household have a dishwasher? Yes 0 No
NEXT	If DISHWASH=1: DWASHUSE Else: CWASHER
PAPER

DWASHUSE
ASK	If DISHWASH=1
In a typical week, about how many times is your dishwasher used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	DWCYCLE
PAPER

DWCYCLE
ASK	If DISHWASH=1
Which cycle is used most of the time when running your dishwasher? Normal or default cycle without heated dry Normal or default cycle with heated dry Heavy or “pots and pans” cycle Light or delicate cycle Energy saver Don’t know Dishwasher not used
NEXT	AGEDW
PAPER

AGEDW
ASK	If DISHWASH=1
About how old is your dishwasher? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	CWASHER
PAPER

CWASHER
ASK	All respondents
Does your household have a clothes washer? If TYPEHUQ in(4,5): Do not include community clothes washers that are located in the basement or laundry room of your apartment building. Yes 0 No
NEXT	If CWASHER=1: TOPFRONT Else: DRYER
PAPER	Include second sentence for all respondents.

TOPFRONT
ASK	If CWASHER=1
Is your clothes washer top loading or front loading? Top loading Front loading
NEXT	WASHLOAD
PAPER

WASHLOAD
ASK	If CWASHER=1
In a typical week, about how many times is your clothes washer used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	WASHTEMP
PAPER

WASHTEMP
ASK	If CWASHER=1
What water temperature setting is typically used for the wash cycle of your clothes washer? Hot Warm Cold
NEXT	RNSETEMP
PAPER

RNSETEMP
ASK	If CWASHER=1
What water temperature setting is typically used for the rinse cycle of your clothes washer? Hot Warm Cold
NEXT	AGECWASH
PAPER

AGECWASH
ASK	If CWASHER = 1
About how old is your clothes washer? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don’t know
NEXT	DRYER
PAPER

DRYER
ASK	All respondents
Does your household have a clothes dryer? If TYPEHUQ in(4,5): Do not include community clothes dryers that are located in the basement or laundry room of your apartment building. Yes 0 No
NEXT	If DRYER=1: DRYRFUEL Else TVCOLOR
PAPER	Include second sentence for all respondents.

DRYRFUEL
ASK	If DRYER=1
What fuel does your clothes dryer use? Electricity Natural gas from underground pipes Propane (bottled gas) Don’t know
NEXT	DRYRUSE
PAPER

DRYRUSE
ASK	If DRYER=1
In a typical week, about how many times is your clothes dryer used? If not used, please enter “0.” _____ times per week {ALLOW RANGE 00-99}
NEXT	AGECDRYER
PAPER

AGECDRYER
ASK	If DRYER = 1
About how old is your clothes dryer? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	TVCOLOR
PAPER

ELECTRONICS

TVCOLOR
ASK	All respondents
How many televisions are used in your home? If none, please enter “0.” _____ televisions {ALLOW RANGE 00-30}
NEXT	If TVCOLOR>0 : TVSIZE1 Else: DESKTOP, NUMLAPTOP, NUMTABLET, ELPERIPH, NUMSMPHONE, CELLPHONE
PAPER

TVSIZE1
ASK	If TVCOLOR>0
What is the size of your most used television? 27 inches or less 28 to 39 inches 40 to 59 inches 60 inches or more
NEXT	TVTYPE1
PAPER

TVTYPE1
ASK	If TVCOLOR>0
What type of display does your most used television have? LCD Plasma LED Projection Standard tube Don’t know
NEXT	TVONWD1
PAPER

TVONWD1
ASK	If TVCOLOR>0
Thinking about your most used television’s use on weekdays, how many hours is it turned on each day? Include the time it is on even if no one is actually watching it. _____ hours per day {ALLOW RANGE 00-24}
NEXT	TVONWE1
PAPER

TVONWE1
ASK	If TVCOLOR>0
Thinking about your most used television’s use on weekends, how many hours is it turned on each day? Include the time it is on even if no one is actually watching it. _____ hours per day {ALLOW RANGE 00-24}
NEXT	If TVCOLOR>1: TVSIZE2 Else: CABLESAT, COMBODVR, SEPDVR, PLAYSTA, DVD, VCR, INTSTREAM, TVAUDIOSYS
PAPER

TVSIZE2
ASK	If TVCOLOR>1
What is the size of your second most used television? 27 inches or less 28 to 39 inches 40 to 59 inches 60 inches or more
NEXT	TVTYPE2
PAPER

TVTYPE2
ASK	If TVCOLOR>1
What type of display does your second most used television have? LCD Plasma LED Projection Standard tube Don’t know
NEXT	TVONWD2
PAPER

TVONWD2
ASK	If TVCOLOR>1
Thinking about your second most used television’s use on weekdays, how many hours is it turned on each day? Include the time it is on even if no one is actually watching it. ____ hours per day {ALLOW RANGE 00-24}
NEXT	TVONWE2
PAPER

TVONWE2
ASK	If TVCOLOR>1
Thinking about your second most used television’s use on weekends, how many hours is it turned on each day? Include the time it is on even if no one is actually watching it. ____ hours per day {ALLOW RANGE 00-24}
NEXT	CABLESAT, COMBODVR, SEPDVR, PLAYSTA, DVD, VCR, INTSTREAM, TVAUDIOSYS
PAPER

CABLESAT, COMBODVR, SEPDVR, PLAYSTA, DVD, VCR, INTSTREAM, TVAUDIOSYS
ASK	If TVCOLOR>0
How many of each of the following are used in your home? If none, please enter “0.” ____ cable or satellite box without DVR (CABLESAT)____ cable or satellite box with DVR (COMBODVR)____ separate DVR (for example: TIVO) (SEPDVR)____ video game console (PLAYSTA)____ DVD or Blu-ray player (DVD)____ VCR (VCR)____ Internet streaming device (for example: Apple TV, Google Chromecast, Slingbox, or Roku) (INSTSTREAM)____ home theater or audio system (TVAUDIOSYS) {ALLOW RANGE 00-30 FOR ALL}
NEXT	DESKTOP, NUMLAPTOP, NUMTABLET, ELPERIPH, NUMSMPHONE, CELLPHONE
PAPER

DESKTOP, NUMLAPTOP, NUMTABLET, ELPERIPH, NUMSMPHONE, CELLPHONE
ASK	All respondents
How many of each of the following are used in your home? If none, please enter “0.” ____ desktop computers (DESKTOP)____ laptop computers (NUMLAPTOP)____ tablet computers or e-readers (for example: iPad or Kindle) (NUMTABLET)____ printers, scanners, fax machines, or copiers (ELPERIPH)____ “smart” phones (for example, iPhone or Android) (NUMSMPHONE)____ other cellular phones (CELLPHONE) {ALLOW RANGE 00-30 FOR ALL}
NEXT	INTERNET
PAPER

INTERNET
ASK	All respondents
In your home, do you or any member of your household access the Internet? Yes 0 No
NEXT	If INTERNET=1: INWIRELESS Else: HEATHOME
PAPER

INWIRELESS
ASK	If INTERNET=1
Is a wireless router used in your home for accessing the Internet? Yes No Don’t know
NEXT	HEATHOME
PAPER

MOTIVATIONAL PROMPT #2: Thanks for your participation so far! You are about halfway done with the survey. Your responses are very important to the study. The next questions are about heating and cooling equipment in your home.

SPACE HEATING

EQUIPM
ASK	All respondents
What is the main type of heating equipment in your home? Central furnace Heat pump Steam or hot water system with radiators or pipes Built-in electric units installed in walls, ceilings, baseboards, or floors Built-in floor/wall pipeless furnace Built-in room heater burning gas, oil, or kerosene Heating stove burning wood, coal, or coke Portable electric heaters Fireplace Other/Specify Don't know Don’t have any heating equipment
NEXT	If EQUIPM ne 0: EQUIPAGE Else: MOISTURE
PAPER

EQUIPAGE
ASK	If EQUIPM ne 0
About how old is your main heating equipment? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	FUELHEAT
PAPER

FUELHEAT
ASK	If EQUIPM ne 0
What is the main fuel used by this equipment for heating your home? Electricity Natural gas from underground pipes Propane (bottled gas) Fuel oil Wood Other/Specify Don't know
NEXT	HEATHOME
PAPER
PROMPT

HEATHOME
ASK	If EQUIPM ne 0
Does your household use heating equipment during the winter? 1 Yes 0 No
NEXT	If HEATHOME = 1: THERMAIN Else: MOISTURE
PAPER

THERMAIN
ASK	If HEATHOME=1
Does your household use a thermostat to control your main heating equipment? Yes 0 No
NEXT	If THERMAIN=1: PROTHERM Else: EQUIPMUSE
PAPER

PROTHERM
ASK	If THERMAIN=1
Is the thermostat that controls your main heating equipment programmable, meaning it can be set to automatically adjust the temperature at certain times? Yes No Don’t know
NEXT	EQUIPMUSE
PAPER

EQUIPMUSE
ASK	If HEATHOME=1
Which of the following best describes how your household controls your main heating equipment most of the time? Set one temperature and leave it there most of the time Manually adjust the temperature at night or when no one is at home Program the thermostat to automatically adjust the temperature during the day and night at certain times Turn equipment on or off as needed Our household does not have control over the equipment 9 Other/Specify
NEXT	TEMPHOME
PAPER

TEMPHOME
ASK	If HEATHOME=1
The next questions are about the temperature inside your home during the winter. If you have a thermostat, think about where your household sets the temperature for your main heating equipment. If you don't have a thermostat, your best guess about the temperature is fine. During the winter, what is the typical temperature when someone is home during the day? _____ degrees {ALLOW RANGE 40-96} Don’t know
NEXT	TEMPGONE
PAPER

TEMPGONE
ASK	If HEATHOME=1
What is the typical temperature when no one is inside your home during the day? _____ degrees {ALLOW RANGE 40-96} Don’t know
NEXT	TEMPNITE
PAPER

TEMPNITE
ASK	If HEATHOME=1
What is the typical temperature inside your home at night? _____ degrees {ALLOW RANGE 40-96} Don’t know
NEXT	EQUIPAUX
PAPER

EQUIPAUX
ASK	If HEATHOME=1
In addition to your main heating equipment, does your household also use any of the following as a second source for heating your home? If more than one, select the type most frequently used. No other equipment used Portable electric heaters Wood-burning stove Natural gas fireplace Wood-burning fireplaces Other (please specify equipment and fuel) Don't know
NEXT	BASEHEAT, ATTCHEAT, GARGHEAT
PAPER

BASEHEAT, ATTCHEAT, GARGHEAT
ASK	If HEATHOME=1
Which of the following spaces in your home are heated? Please select all that apply. Basement (BASEHEAT) Yes No Not applicable (my home does not have this space) Attic (ATTCHEAT) Yes No Not applicable (my home does not have this space) Attached garage (GARGHEAT) Yes No Not applicable (my home does not have this space)
NEXT	MOISTURE
PAPER

MOISTURE
ASK	All Respondents
Humidifiers add moisture to the air and are often used in the winter. Is a humidifier used in your home? Yes 0 No
NEXT	If MOISTURE=1: USEMOISTURE Else: AIRCOND
PAPER

USEMOISTURE
ASK	If MOISTURE=1
In the last year, how many months was the humidifier used? _____ months {ALLOW RANGE 0 - 12}
NEXT	AIRCOND
PAPER

AIR CONDITIONING

AIRCOND
ASK	All respondents
Is any air conditioning equipment used in your home? Yes 0 No
NEXT	If AIRCOND=1: CENTRALAC Else: SWAMPCOL
PAPER
PROMPT

CENTRALAC
ASK	If AIRCOND=1
Is your home cooled using a central air conditioning system? Yes 0 No
NEXT	If CENTRALAC=1: CENACHP Else: WWAC
PAPER

CENACHP
ASK	If CENTRALAC=1
Is your central air conditioning system a heat pump? Yes No Don’t know
NEXT	AGECENAC
PAPER

AGECENAC
ASK	If CENTRALAC=1
About how old is your central air conditioning system? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 15 to 19 years old 20 or more years old Don't know
NEXT	THERMAINAC
PAPER

THERMAINAC
ASK	If CENTRALAC=1
Does your household use a thermostat to control your central air conditioning system? Yes 0 No
NEXT	If THERMAINAC=1: PROTHERMAC If THERMAINAC=0: USECENAC
PAPER

PROTHERMAC
ASK	If THERMAINAC=1
Is the thermostat that controls your central air conditioning system programmable, meaning it can be set to automatically adjust the temperature at certain times? Yes No Don’t know
NEXT	USECENAC
PAPER

USECENAC
ASK	If CENTRALAC=1
Which of the following best describes how your household controls your central air conditioning system most of the time? Set one temperature and leave it there most of the time Manually adjust the temperature at night or when no one is at home Program the thermostat to automatically adjust the temperature during the day and night at certain times Turn equipment on or off as needed Our household does not have control over the equipment 9 Other/Specify
NEXT	WWAC
PAPER

WWAC
ASK	If AIRCOND=1
Is your home cooled using individual window,wall, or portable air conditioning units? Yes 0 No
NEXT	If WWAC=1: NUMBERAC Else: TEMPHOMEAC
PAPER

NUMBERAC
ASK	If WWAC=1
How many individual window, wall, or portable air conditioning units do you use in your home? _____ units {ALLOW RANGE 00-30}
NEXT	WWACAGE
PAPER

WWACAGE
ASK	If WWAC=1
About how old is your most used window, wall, or portable air conditioning unit? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 42 15 to 19 years old 20 or more years old Don't know
NEXT	USEWWAC
PAPER

USEWWAC
ASK	If WWAC=1
Which best describes how your household controls your most used individual unit most of the time? Set one temperature and leave it there most of the time Manually adjust the temperature at night or when no one is at home Program the thermostat to automatically adjust the temperature during the day and night at certain times Turn equipment on or off as needed Our household does not have control over the equipment 9 Other/Specify
NEXT	TEMPHOMEAC
PAPER

TEMPHOMEAC
ASK	If AIRCOND=1
The next questions are about the temperature inside your home during the summer. If you have a thermostat, think about where your household sets the temperature for your air conditioning equipment. If you do not have a thermostat, your best guess about the temperature is fine. During the summer, what is the typical temperature when someone is home during the day? _____ degrees {ALLOW RANGE 40-96} Don’t know
NEXT	TEMPGONEAC
PAPER

TEMPGONEAC
ASK	If AIRCOND=1
What is the typical temperature when no one is inside your home during the day? _____ degrees {ALLOW RANGE 40-96} Don’t know
NEXT	TEMPNITEAC
PAPER

TEMPNITEAC
ASK	If AIRCOND=1
What is the typical temperature inside your home at night? _____ degrees {ALLOW RANGE 40-96} Don’t know
NEXT	BASECOOL, ATTCCOOL, GARGCOOL
PAPER

BASECOOL, ATTCCOOL, GARGCOOL
ASK	If AIRCOND=1
Which of the following spaces in your home are air conditioned? Please select all that apply. Basement (BASECOOL) Yes No Not applicable (my home does not have this space) Attic (ATTCCOOL) Yes No Not applicable (my home does not have this space) Attached garage (GARGCOOL) Yes No Not applicable (my home does not have this space)
NEXT	SWAMPCOL
PAPER

SWAMPCOL
ASK	If AIRCOND=1
Is your home cooled using evaporative or swamp coolers? Yes 0 No
NEXT	NUMCFAN, NUMFLOORFAN, NUMHOUSEFAN, NUMATTICFAN
PAPER

NUMCFAN, NUMFLOORFAN, NUMHOUSEFAN, NUMATTICFAN
ASK	All respondents
How many of the following types of fans does your household use? If none, please enter “0.” _____ Ceiling fans (NUMCFAN) _____ Floor or window fans (NUMFLOORFAN) _____ Whole house fans (NUMHOUSEFAN) _____ Attic fans (NUMATTICFAN) {ALLOW RANGE 00-50 FOR ALL}
NEXT	NOTMOIST
PAPER

NOTMOIST
ASK	All respondents
Dehumidifiers remove moisture from the air and are often used in the summer. Is a dehumidifier used in your home? Yes 0 No
NEXT	If NOTMOIST=1: USENOTMOIST Else: H2OMAIN
PAPER

USENOTMOIST
ASK	If NOTMOIST=1
In the last year, how many months was the dehumidifier used?? _____ months {ALLOW RANGE 0 - 12}
NEXT	H2OMAIN
PAPER

MOTIVATIONAL PROMPT #3: You are about three-quarters done with the survey. Thank you again for your participation so far! The next section asks important questions about the water heater used in your home. This will give us a better understanding of your home’s energy use.

WATER HEATING

H2OMAIN
ASK	All respondents
Where is the main water heating equipment for your home located? IInside my home or garage Outside my home/garage (for example: in the basement of an apartment building) Other/Specify
NEXT	WHEATSIZ
PAPER

WHEATSIZ
ASK	All respondents
What is the approximate size of your main water heater? Small (30 gallons or less) Medium (31 to 49 gallons) Large (50 gallons or more) Tankless or on-demand Don’t know
NEXT	WHEATAGE
PAPER

WHEATAGE
ASK	All respondents
About how old is your main water heater? Your best estimate is fine. Less than 2 years old 2 to 4 years old 5 to 9 years old 10 to 14 years old 42 15 to 19 years old 20 or more years old Don't know
NEXT	FUELH2O
PAPER

FUELH2O
ASK	All respondents
What fuel does your main water heater use? Electricity Natural gas from underground pipes Propane (bottled gas) Fuel oil Wood Other/Specify Don't know
NEXT	MORETHAN1H2O
PAPER
PROMPT

MORETHAN1H2O
ASK	All respondents
Do you have more than one water heater? Yes 0 No
NEXT	If MORETHAN1H2O=1: FUELH2O2 Else: LGTINNUM
PAPER

FUELH2O2
ASK	If MORETHAN1H2O=1
What fuel does your second water heater use? Electricity Natural gas from underground pipes Propane (bottled gas) Fuel oil Wood Other/Specify Don't know
NEXT	LGTINNUM
PAPER

LIGHTING

LGTINNUM
ASK	All respondents
Approximately how many light bulbs are installed inside your home? Include light bulbs in ceiling fixtures and fans, table and floor lamps, as well as those used infrequently, such as in hallways, closets, and garages. For fixtures with multiple bulbs, count each bulb separately. Fewer than 20 light bulbs 20 to 39 light bulbs 40 to 59 light bulbs 60 to 79 light bulbs 80 or more light bulbs Don’t Know
NEXT	LGT4
PAPER

LGT4
ASK	All respondents
How many of the light bulbs inside your home are used at least 4 hours per day? _____ light bulbs {ALLOW RANGE 00-99}
NEXT	LGTINCAN
PAPER

LGTINCAN
ASK	All respondents
Example incandescent bulb What portion of the light bulbs inside your home are incandescent bulbs? All Most About half Some None Don’t know
NEXT	LGTINCFL
PAPER

LGTINCFL
ASK	All respondents
Example CFL bulb What portion of the light bulbs inside your home are CFL bulbs? All Most About half Some None Don’t know
NEXT	LGTINLED
PAPER

LGTINLED
ASK	All respondents
Example LED bulb What portion of the light bulbs inside your home are LED bulbs? All Most About half Some None Don’t know
NEXT	LGTINCNTL
PAPER

LGTINCNTL
ASK	All respondents
Are any of the light bulbs inside your home controlled by timers or dimmer switches? Yes 0 No
NEXT	LGTOUTNUM
PAPER

LGTOUTNUM
ASK	All respondents
About how many light bulbs are installed outside your home? For apartments, only include light bulbs connected to your unit. None 1 to 4 bulbs 5 to 9 bulbs 10 or more bulbs Don’t know
NEXT	If LGTOUTNUM in(1,2,3): LGTOUTCAN, LGTOUTCFL, LGTOUTLED, LGTOUTNG Else: AUDIT
PAPER

LGTOUTCAN, LGTOUTCFL, LGTOUTLED, LGTOUTNG
ASK	If LGTOUTNUM in(1,2,3)
Which of the following types of light bulbs are used outside your home? Please select all that apply. Incandescent bulbs (LGTOUTCAN) CFL bulbs (LGTOUTCFL) LED bulbs (LGTOUTLED) Natural gas lights (LGTOUTNG)
NEXT	LGTOUTCNTL
PAPER

LGTOUTCNTL
ASK	If LGTOUTNUM in(1,2,3)
Are any of the light bulbs outside your home controlled by motion detectors or light sensors? Yes 0 No
NEXT	AUDIT
PAPER

ENERGY PROGRAMS

AUDIT
ASK	All respondents
A home energy audit is when a trained professional examines how energy is used in all parts of a home. After examining a home, the energy auditor will provide a list of ways to reduce energy use and save money on energy bills. Has your home had an energy audit? Yes No Don’t know
NEXT	If AUDIT=1: AUDITCHG Else: EELIGHTS, FREEAUDIT, REBATEAPP, RECYCAPP, TAXCREDITAPP, BENOTHER
PAPER

AUDITCHG
ASK	If AUDIT=1
Did your household make any of the changes suggested by the energy auditor? Yes No
NEXT	EELIGHTS, FREEAUDIT, REBATEAPP, RECYCAPP, TAXCREDITAPP, BENOTHER
PAPER

EELIGHTS, FREEAUDIT, REBATEAPP, RECYCAPP, TAXCREDITAPP, BENOTHER
ASK	All respondents
Has your household received any of the following energy-related benefits or assistance for this home? Please select all that apply. Free or subsidized energy-efficient light bulbs (EELIGHTS) Free or subsidized home energy audit (FREEAUDIT) Utility or energy supplier rebate for new appliance or equipment (REBATEAPP) Recycling of old appliance or equipment (for example, a refrigerator) (RECYCAPP) Tax credit for new appliance or equipment (TAXCREDITAPP) Other/Specify (BENOTHER) My household has not received any of these benefits or assistance
NEXT	ENERGYASST
PAPER

ENERGYASST
ASK	All respondents
Has your household participated in a home energy assistance program that helps pay energy bills or fix broken equipment? Yes No
NEXT	If ENERGYASST=1: ENERGYASST11, ENERGYASST12, ENERGYASST13, ENERGYASST14, ENERGYASST15, ENERGYASSTOTH Else: ESCWASH, ESDRYER, ESDISHW, ESFREEZ, ESLIGHT, ESFRIG, ESWATER, ESWIN
PAPER

ENERGYASST11, ENERGYASST12, ENERGYASST13, ENERGYASST14, ENERGYASST15, ENERGYASSTOTH
ASK	If ENERGYASST=1
In which of the following years did your household receive home energy assistance? Please select all that apply. 2011 (ENERGYASST11) 2012 (ENERGYASST12) 2013 (ENERGYASST13) 2014 (ENERGYASST14) 2015 (ENERGYASST15) Some other year(s) (ENERGYASSTOTH)
NEXT	ESCWASH, ESDRYER, ESDISHW, ESFREEZ, ESLIGHT, ESFRIG, ESWATER, ESWIN
PAPER

ESCWASH, ESDRYER, ESDISHW, ESFREEZ, ESLIGHT, ESFRIG, ESWATER, ESWIN
ASK	All respondents
Which of the following products in your home are ENERGY STAR qualified? Please select all that apply. Windows (ESWIN) Refrigerator (ESFRIG) Freezer (ESFREEZ) Dishwasher (ESDISHW) Clothes washer (ESCWASH) Clothes dryer (ESDRYER) Water heater (ESWATER) Light bulbs (ESLIGHT) None of the above
NEXT	SMARTTHERM
PAPER

SMARTTHERM
ASK	All respondents
Does your home have a “smart” or Internet-connected thermostat? Yes No Don’t know
NEXT	ELPAY
PAPER

ENERGY BILLS

ELPAY
ASK	All respondents
Which of the following describes who is responsible for paying for the electricity used in this home? Household is responsible for paying for all electricity used in this home All electricity used in this home is included in the rent or condo fee Some is paid by the household, some is included in the rent or condo fee Other/Specify Don’t know
NEXT	If STOVENFUEL=1 or STOVEFUEL=1 or OVENFUEL=1 or OUTGRILLFUEL=1 or DRYRFUEL=1 or FUELHEAT=1 or FUELH2O=1 or FUELH2O2=1 or FUELPOOL=1 or FUELTUB=1: NGPAY Else if STOVENFUEL=2 or STOVEFUEL=2 or OVENFUEL=2 or OUTGRILLFUEL=2 or DRYRFUEL=2 or FUELHEAT=2 or FUELH2O=2 or FUELH2O2=2 or FUELPOOL=2 or FUELTUB=2: LPGPAY Else if FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3: FOPAY Else KFUELOT
PAPER
PROMPT

NGPAY
ASK	If STOVENFUEL=1 or STOVEFUEL=1 or OVENFUEL=1 or OUTGRILLFUEL=1 or DRYRFUEL=1 or FUELHEAT=1 or FUELH2O=1 or FUELH2O2=1 or FUELPOOL=1 or FUELTUB=1
Which of the following describes who is responsible for paying for the natural gas used in this home? Household is responsible for paying for all natural gas used in this home All natural gas used in this home is included in the rent or condo fee Some is paid by the household, some is included in the rent or condo fee Other/Specify Don’t know
NEXT	If STOVENFUEL=2 or STOVEFUEL=2 or OVENFUEL=2 or OUTGRILLFUEL=2 or DRYRFUEL=2 or FUELHEAT=2 or FUELH2O=2 or FUELH2O2=2 or FUELPOOL=2 or FUELTUB=2: LPGPAY Else if FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3: FOPAY Else KFUELOT
PAPER	Include additional response option – “Do not use natural gas” instead of using skip.

LPGPAY
ASK	If STOVENFUEL=2 or STOVEFUEL=2 or OVENFUEL=2 or OUTGRILLFUEL=2 or DRYRFUEL=2 or FUELHEAT=2 or FUELH2O=2 or FUELH2O2=2 or FUELPOOL=2 or FUELTUB=2
Which of the following describes who is responsible for paying for the propane used in this home? Household is responsible for paying for all propane used in this home All propane used in this home is included in the rent or condo fee Some is paid by the household, some is included in the rent or condo fee Other/Specify Don’t know
NEXT	If FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3: FOPAY Else KFUELOT
PAPER	Include additional response option – “Do not use propane” instead of using skip.

FOPAY
ASK	If FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3
Which of the following describes who is responsible for paying for the fuel oil used in this home? Household is responsible for paying for all fuel oil used in this home All fuel oil used in this home is included in the rent or condo fee Some is paid by the household, some is included in the rent or condo fee Other/Specify Don’t know
NEXT	KFUELOT
PAPER	Include additional response option – “Do not use fuel oil” instead of using skip.

KFUELOT
ASK	All respondents
Do any of your household energy bills include costs for energy used for non-household purposes, such as farm buildings or machinery, a business or office, or another house or apartment? Yes No
NEXT	If KFUELOT=1: BILLEL, BILLUG, BILLLPG, BILLFOIL, BILLKER Else: SMARTMETER
PAPER

BILLEL, BILLUG, BILLLPG, BILLFK
ASK	If KFUELOT=1
Which of your household’s energy bills include costs for energy used for non-household purposes? Please select all that apply. Electricity (BILLEL) Natural gas from underground pipes (BILLUG) Propane (bottled gas) (BILLLPG) Fuel oil or kerosene (BILLFK)
NEXT	SMARTMETER
PAPER

SMARTMETER
ASK	All respondents
Does your home have a “smart meter,” which records electricity usage in short time intervals and automatically transmits it to your utility company? Yes No Don’t know
NEXT	If SMARTMETER=1: INTDATA Else: BACKUP
PAPER

INTDATA
ASK	If SMARTMETER=1
Does your household have access to hourly or daily electricity usage information recorded by your smart meter? Yes No Don’t know
NEXT	If INTDATA=1: INTDATAACC Else: BACKUP
PAPER

INTDATAACC
ASK	If INTDATA=1
Have you or any member of your household ever accessed or viewed this electricity usage data? Yes No
NEXT	BACKUP
PAPER

BACKUP
ASK	All respondents
Does your household have a back-up generator that can be used for generating electricity in case of a power outage or emergency? Yes No
NEXT	ONSITETYPE
PAPER

ONSITETYPE
ASK	All respondents
Not including back-up generators, does your home have any of these on-site systems that generates electricity? No on-site generation system Solar or photovoltaic system Small wind turbine Combined heat and power system Other/Specify
NEXT	OTHFUELUSE
PAPER

OTHFUELUSE
ASK	All respondents
Are there any other fuels used in your home that you have not already answered about? If so, please list the fuel(s) and how it is used. Open-ended response Don’t use any other fuel
NEXT	OTHACT
PAPER

OTHACT
ASK	All respondents
Are there any activities occurring in your home that use a lot more energy than would usually be used in a home? Open-ended response No high energy-using activities
NEXT	HHSEX
PAPER

MOTIVATIONAL PROMPT #4: You’re almost there! Next, we have a few questions about you and your household.

HOUSEHOLD CHARACTERISTICS

HHSEX
ASK	All respondents
What is your sex? Female Male
NEXT	HHAGE
PAPER

HHAGE
ASK	All respondents
What is your age? _____ years old {ALLOW RANGE 18-110}
NEXT	EMPLOYHH
PAPER

EMPLOYHH
ASK	All respondents
Which best describes your employment status? Employed full-time Employed part-time Not employed/retired
NEXT	EDUCATION
PAPER

EDUCATION
ASK	All respondents
What is the highest degree or level of school you have completed? Less than high school diploma or GED High school diploma or GED Some college or Associate’s degree Bachelor’s degree (for example: BA, BS) Master’s, Professional, or Doctorate degree (for example: MA, MS, MBA, MD, JD, PhD)
NEXT	SDESCENT
PAPER

SDESCENT
ASK	All respondents
Are you Hispanic or Latino? Yes No
NEXT	RACE_WHITE, RACE_BLACK, RACE_AIAN, RACE_ASIAN, RACE_NHPI, RACE_OTH
PAPER

RACE_WHITE, RACE_BLACK, RACE_AIAN, RACE_ASIAN, RACE_NHPI, RACE_OTH
ASK	All respondents
What is your race? Please select all that apply. White (RACE_WHITE) Black or African-American (RACE_BLACK) American Indian or Alaska Native (RACE_AIAN) Asian (RACE_ASIAN) Native Hawaiian or Other Pacific Islander (RACE_NHPI) Other/Specify (RACE_OTH)
NEXT	NHSLDMEM
PAPER	Please make recommendation for how to handle other/specify response options for both web and paper.

NHSHLDMEM
ASK	All respondents
Including yourself, how many people usually live in this home? Do not include anyone who is just visiting, those away in the military, or children who are away at college. _____ household members {ALLOW RANGE 1-20}
NEXT	NUMADULT
PAPER
PROMPT	SOFT: If possible, please provide an answer to this question. Please be assured that the information you give us will be treated confidentially. Please click “No change, continue” to go to the next question or clink “Change answer” to edit your response.”

NUMADULT
ASK	All respondents
How many members of your household are adults (18 years of age or older)? _____ adults {ALLOW RANGE 1-20}
NEXT	ATHOME
PAPER

ATHOME
ASK	All respondents
In a typical week, how many weekdays is someone at home most or all of the day? None 1 day 2 days 3 days 4 days 5 days
NEXT	MONEYPY
PAPER

MONEYPY
ASK	All respondents
Including all income sources, which category best describes the total combined income of all household members for the last year, before taxes and deductions?  Less than $20,000 $20,000 - $39,999 $40,000 - $59,999 $60,000 to $79,999 $80,000 to $99,999 $100,000 to $119,999 $120,000 to $139,999 $140,000 or more
NEXT	SCALEB
PAPER

ENERGY ASSISTANCE

SCALEB
ASK	All respondents
The last questions are about challenges your household may have had paying energy bills or maintaining heating and cooling in your home. In the last year, how many months did your household reduce or forego expenses for basic household necessities, such as medicine or food, in order to pay an energy bill? Almost every month Some months 1 or 2 months Never
NEXT	SCALEG
PAPER

SCALEG
ASK	All respondents
In the last year, how many months did your household keep your home at a temperature that you felt was unsafe or unhealthy? Almost every month Some months 1 or 2 months Never
NEXT	SCALEE
PAPER

SCALEE
ASK	All respondents
In the last year, how many months did your household receive a disconnection notice, shut off notice, or nondelivery notice for an energy bill? Almost every month Some months 1 or 2 months Never
NEXT	If SCALEE in(1,2,3): PAYHELP Else: NOHEATBROKE, NOHEATEL, NOHEATNG, NOHEATBULK
PAPER

PAYHELP
ASK	If SCALEE in(1,2,3)
When you received that notice, did your household apply for and receive home energy assistance to help pay your energy bill? Yes No
NEXT	NOHEATBROKE, NOHEATEL, NOHEATNG, NOHEATBULK
PAPER

NOHEATBROKE, NOHEATEL, NOHEATNG, NOHEATBULK
ASK	All respondents
In the last year, was there ever a time your household was unable to use your main source of heat because any of these events happened? Please select all that apply. Your heating equipment was broken and you couldn’t afford to pay for the repair or replacement (NOHEATBROKE) You couldn’t pay for electricity and it was disconnected (NOHEATEL) You couldn’t pay for natural gas and it was disconnected (NOHEATNG) You ran out of fuel oil, propane, kerosene, or wood because you couldn’t afford a delivery (NOHEATBULK) None of these happened
NEXT	If NOHEATBROKE=1 OR NOHEATEL=1 OR NOHEATNG=1 OR NOHEATBULK=1: NOHEATDAYS Else: COLDMA
PAPER

NOHEATDAYS
ASK	If NOHEATBROKE=1 OR NOHEATEL=1 OR NOHEATNG=1 OR NOHEATBULK=1
About how many days was your household without heat? _____ days {ALLOW RANGE 1 - 366}
NEXT	NOHEATHELP
PAPER

NOHEATHELP
ASK	If NOHEATBROKE=1 OR NOHEATEL=1 OR NOHEATNG=1 OR NOHEATBULK=1
When that happened, did your household apply for and receive home energy assistance to help restore your heating? Yes No
NEXT	COLDMA
PAPER

COLDMA
ASK	All respondents
In the last year, did anyone in your household need medical attention because your home was too cold? Yes No
NEXT	NOACBROKE, NOACEL
PAPER

NOACBROKE, NOACEL
ASK	All respondents
In the last year, was there ever a time your household was unable to use your air conditioner or other cooling equipment because any of these events happened? Please select all that apply. Your air conditioning equipment or other cooling equipment was broken and you couldn’t afford to pay for the repair or replacement (NOACBROKE) You couldn’t pay for electricity and it was disconnected (NOACEL) None of these happened
NEXT	If NOACBROKE=1 or NOACEL=1: NOACDAYS Else: HOTMA
PAPER

NOACDAYS
ASK	If NOACBROKE=1 or NOACEL=1
About how many days was your household without its air conditioner or other cooling equipment? _____ days {ALLOW RANGE 1 - 366}
NEXT	NOACHELP
PAPER

NOACHELP
ASK	If NOACBROKE=1 or NOACEL=1
When that happened, did your household apply for and receive home energy assistance to help restore your cooling? Yes No
NEXT	HOTMA
PAPER

HOTMA
ASK	All respondents
In the last year, did anyone in your household need medical attention because your home was too hot? Yes No
NEXT	ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, LPDELTANK, LPDELTANKUNITS, NLPDELNC, LPDELCONS, LPDELUNITS, LPDELEXP, LPBUYTANK, LPBUYTANKUNITS, NLPGCASH, LPBUYCONS, LPBUYUNITS, LPBUYEXP, FKSUPPNAME, FKACCT, FKTANK, NFKDELNC, FKCONS, FKEXP, PELLETCONS, PELLETAMT, WOODAMT, WOODCOST, WOODFREE, AUTHORIZATION, INITIAL
PAPER

ENERGY SUPPLIERS AND USE

PROPDEL
ASK	If STOVENFUEL=2 or STOVEFUEL=2 or OVENFUEL=2 or OUTGRILLFUEL=2 or DRYRFUEL=2 or FUELHEAT=2 or FUELH2O=2 or FUELH2O2=2 or FUELPOOL=2 or FUELTUB=2
Does your household receive propane deliveries? Yes 0 No
NEXT	If PROPDEL=1: LPDELTANK, LPDELTANKUNITS, NLPDELNC, LPDELCONS, LPDELUNITS, LPDELEXP Else: PROPHOME
PAPER	Do not use skip, just ask of all respondents

LPDELTANK, LPDELTANKUNITS, NLPDELNC, LPDELCONS, LPDELUNITS, LPDELEXP
ASK	If PROPDEL = 1
Please provide as much of the following information as you can about your propane deliveries: Tank size: _____ (LPDELTANK) [ ] gallons [ ] pounds (LPDELTANKUNITS) Number of propane deliveries in the past year: _____ (NLPDELNC) Total gallons or pounds of propane used in the past year: _____ (LPDELCONS) [ ] gallons [ ] pounds (LPDELUNITS) Total cost of propane used in the past year: $_____ (LPDELEXP)
NEXT	PROPHOME
PAPER

PROPHOME
ASK	If STOVENFUEL=2 or STOVEFUEL=2 or OVENFUEL=2 or OUTGRILLFUEL=2 or DRYRFUEL=2 or FUELHEAT=2 or FUELH2O=2 or FUELH2O2=2 or FUELPOOL=2 or FUELTUB=2
Does your household buy propane and bring it home (including cylinder exchange)? Yes 0 No
NEXT	If PROPHOME=1: LPBUYTANK Else if FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3: FKDEL Else if FUELHEAT=7 or EQUIPAUX in(2,4) or FUELH2O=7 or FUELH2O2=7: WOOD Else: ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
PAPER	Do not use skip, just ask of all respondents

LPBUYTANK, LPBUYTANKUNITS, NLPGCASH, LPBUYCONS, LPBUYUNITS, LPBUYEXP
ASK	If PROPHOME = 1
Please provide as much of the following information as you can about the propane you buy and bring home: Tank size: _____ (LPBUYTANK) [ ] gallons [ ] pounds (LPBUYTANKUNITS) Number of times buying propane and bringing it home in the past year: _____ (NLPGCASH) Total gallons or pounds of propane used in the past year: _____ (LPBUYCONS) [ ] gallons [ ] pounds (LPBUYUNITS) Total cost of propane used in the past year: $_____ (LPBUYEXP)
NEXT	If FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3: FKDEL: Else if FUELHEAT=7 or EQUIPAUX in(2,4) or FUELH2O=7 or FUELH2O2=7: WOOD Else: ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
PAPER

FKDEL
ASK	If FUELHEAT=3 or FUELH2O=3 or FUELH2O2=3 or FUELPOOL=3 or FUELTUB=3
Does your household receive fuel oil or kerosene deliveries? Yes 0 No
NEXT	If FKDEL=1: FKTANK, NFKDELNC, FKCONS, FKEXP Else if FUELHEAT=7 or EQUIPAUX in(2,4) or FUELH2O=7 or FUELH2O2=7: WOOD Else: ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
PAPER	Do not use skip, just ask of all respondents

FKTANK, NFKDELNC, FKCONS, FKEXP
ASK	If FKDEL = 1
Please provide as much of the following information as you can about your fuel oil or kerosene deliveries: Tank size: _____ gallons (FKTANK) Number of fuel oil or kerosene deliveries in the past year: _____ (NFKDELNC) Total gallons of fuel oil or kerosene used in the past year: _____ (FKCONS) Total cost of fuel oil or kerosene used in the past year: _____ (FKEXP)
NEXT	If FUELHEAT=7 or EQUIPAUX in(2,4) or FUELH2O=7 or FUELH2O2=7: WOOD Else: ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
PAPER

WOOD
ASK	If FUELHEAT=7 or EQUIPAUX in(2,4) or FUELH2O=7 or FUELH2O2=7
Does your household use wood? Yes 0 No
NEXT	If WOOD=1: PELLETCONS, PELLETAMT, WOODAMT, WOODCOST, WOODFREE Else: ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
PAPER	Do not use skip, just ask of all respondents

PELLETCONS, PELLETAMT, WOODAMT, WOODCOST, WOODFREE
ASK	If WOOD=1
Please provide as much of the following information as you can about wood used for fuel: Total amount of wood pellets used in the past year: _____ (PELLETCONS) [ ] 40-pound bags [ ] tons (PELLETAMT) Total amount of wood logs, split wood, or scrap used in the past year: _____ cords (WOODAMT) Total cost of wood used in the past year: _____ (WOODCOST) Wood is obtained free of charge (WOODFREE)
NEXT	ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
PAPER

ELSUPPNAME, ELACCT, NGSUPPNAME, NGACCT, LPSUPPNAME, LPACCT, FKSUPPNAME, FKACCT
ASK	All respondents
An important part of this study is to link the information you’ve provided in this survey to your actual energy use. This will help us learn exactly how much energy your household used in the past year. Please provide the names of your energy supplier(s) and the account number for each fuel used by your household. Providing your account number ensures we get the correct energy use data. All data collected as part of the Residential Energy Consumption Survey, including energy use data, is used only for statistical purposes and will remain strictly confidential. Electricity __________________________ (ELSUPPNAME) ________________ (ELACCT) Natural Gas __________________________ (NGSUPPNAME) ________________ (NGACCT) Propane __________________________ (LPSUPPNAME) _______________ (LPACCT) I hereby give permission to this company or companies to provide information about the energy consumption at <sample address> to the U.S. Department of Energy for confidential use in connection with the Residential Energy Consumption Survey. (AUTHORIZATION) Initial here: _____ (INITIAL)
NEXT
PAPER	Instead of the fill for last sentence: I hereby give permission to this company or companies to provide information about the energy consumption at the home located at the address on the enclosed letter to the U.S. Department of Energy for confidential use in connection with the Residential Energy Consumption Survey.

71