What is your primary energy source?
Renewable energy Gas grid Coal Nuclear
What is your monthly energy bill?
Under $100 $100-$200 $200-$300 Over $300
How many occupants in your home?
1-2 3-4 5-6 7+
Do you have an energy backup?
Yes, solar Yes, generator No backup
How soon do you need services?
Immediately Within a month 2-3 months 4+ months
All set, how can we reach you?
Name
Email
Phone
(Details here)
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