Pre Survey Questionnaire
To help us expedite your requests for information and site visits, fill out the Solar Power Questionnaire and return it to ETM. Print, Fill in and mail, fax or email back to us at ETM Solar Works, 300 North St., Endicott, NY 13760 or info@etmsolar.com or fax to 607-786-3388
The demand for solar energy systems is growing quickly. To help us serve you better, please fill in this questionnaire and return before scheduling an appointment with us. Thank you!
Name:_________________________________________________________
Phone: __________________ email:_____________
Address:_________________________________________________________________
City:_______________________________________ State:_______ Zip:__________
Where did you find out about us? (circle one)
NYSERDA website, Local media (TV, radio, printed ad), referral, other_____________
Electric consumption (YEARLY) in kilowatt-hours (kWh):_________________ If you don’t know this figure call utility company.
Is your refrigerator older than 10 years?
Do you have:
- central air conditioning?
- Pool pump?
- Well pump?
- Incandescent lights?
- Any appliances that are on 24/7?
Does one side of the roof face south?
For south roofs (+/- 30 degrees off-south):
Is shade of any kind likely between 9 AM and 4 PM?
Are there “things” sticking up out of the roof such as dormers, chimneys or vents? Sketch or send photo.
What are the approximate dimensions of the roof?
For east-west roofs, make notes on shade and things sticking up for both sides. Is one side obviously better?
Look in your attic. What is the spacing and size of roof beams?
Look at your house's circuit box. Are there unused spaces? How many?
What is the service size: ____ amps, ____ volts. Common sizes are 100 A, 150 A, 200 A. Most houses have 240 V from utility.
Some have 208 V.
Do wires from utility come in overhead or underground?
Just leave blanks on things you don’t know or can’t check. We’ll check.


