Home Upgrade Audit Request for home audit Pono Home offers audit consultations for renters, homeowners, and small businesses to help you live healthier, live greener, and save money. This can help identify inefficiencies caused by leaks, plugload (vampire) drains, appliance maintenance issues, older lighting or plumbing fixtures, and more. We will also work to identify potential upgrades and qualifying rebates on major appliances throughout your home like water heaters, refrigerators and more. The cost of our in-home audit is $60, but it can also be free! All you need to do to get a free home audit (limit one per customer) is Like Pono Home on Facebook, then post on your Facebook homepage that you’re getting a free green home audit from Pono Home, tagging us with an @PonoHome. Bonus points if you let everyone know that you’re really excited about greening your space, saving money, and making the world a better place. If you can use a smartphone to fill out this survey, you can also upload photos directly…this will help us provide you the best info possible. All answers below are voluntary, but the more info you give us the better we’ll be able to help you. Setting Where do you want efficiency work done? Condo/apartment Single family home A business or your place of work Average monthly electric bill Don’t know, or don’t pay an electric bill Less than $75 per month $75 to $150 per month $150 to $250 per month More than $250 per month Average monthly water/sewer bill Don’t know, or don’t pay a water/sewer bill Less than $75 per month $75 to $150 per month $150 to $250 per month More than $250 per month What appliances do you have on site? Only check appliances that are in your site and under your control. If the appliance is not in your home or place of business (like in an apartment building where laundry or water heaters may be centrally located), leave those boxes unchecked. Refrigerator Furnace/heating system Central A/C or Split A/C Window A/C Water heater (tank) Water heater (tankless) Dishwasher Washing machine Dryer When was the last time your dryer vent was cleaned? Within six months Within a year Longer than a year or not sure When was the last time your refrigerator's condenser coils were cleaned? Within six months Within a year Longer than a year or not sure When was the last time sediments and deposits were flushed from your water heater tank? Within six months Within a year Longer than a year or not sure If you use your A/C or furnace, are your windows "leaky" (louvered, single pane, or have noticeable cracks and gaps around the edges)? No, they’re pretty upgraded and seem well sealed Some may be leaking Most or all of them are probably not as sealed as they could be Don’t know If you use your A/C or furnace, how often do you change your filters? Regularly, once a month or thereabouts A couple of times a year Don’t know Which of the following are you primarily interested in? (Check all that apply) Lighting retrofit to LEDs Dryer vent cleaning High efficiency water fixture installations Solar PV Solar hot water Water audit (Tested for leaks) Insulation upgrade (attic and walls) Weatherization (sealing gaps in doors/windows) Organic garden installation Anything that will help lowering my bills! Optional: take and upload photos of your lighting Take as many up close photos of your lighting as possible to give us an idea of what we’re looking at. Try to get the written part clear enough so we can see wattage, as well. Drop files here or Lighting concerns Do you have any concerns about light quantity, quality, color spectrum, etc? Pono Home has high efficiency LED lights in virtually all shapes, colors, and sizes, so there will be no loss of your experience…the only thing you’ll notice is that you’ll pay 90% less for the energy your lights use! Optional: take and upload photos of your dryer vent (the silver tube) Take photos of your dryer to give us an idea of what we’re looking at. Also note below the access points to the dryer vent (first floor, second floor? Behind a dryer in a tight space?) Drop files here or Dryer vent info How accessible is the vent tube coming out the back of your dryer? Where does it vent outside (second floor? 10 feet off the ground?) Garden info Do you have space for an outdoor garden? Would you want irrigation, and if so, how far away is the closest water source/spigot? How big a garden do you want? What would you like to grow? Getting in touch Name First Last Preferred contact method Phone Email No preference Phone Email Address City * ZIP Code This will help us connect you with the right service technician. Any specific questions, concerns, or other thoughts? Best days and times to call you How did you hear about us? Newspaper TV Radio ad Facebook Services Listing Craigslist Flyer Event Referral Which event? Who can we thank for referring you to us? This iframe contains the logic required to handle Ajax powered Gravity Forms.