Energy Efficiency Program Survey Template

Collect participant feedback on enrollment, instructions, and support in an energy efficiency program. Use this survey to improve participation without confusing reported experience with measured energy savings.

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Energy Efficiency Program Survey: first question and response field, desktop preview — Energy Efficiency Program Survey Preview

Energy Efficiency Program Survey: first question and response field, tablet preview — Energy Efficiency Program Survey Preview

Program participation can stall before any equipment or behavior changes take place. Ask where participants are in the process and what made the next step difficult. Keep experience feedback separate from meter readings and technical evaluation.

When to use this energy efficiency program survey

Program coordinators can use this questionnaire with people who enrolled in a named energy efficiency initiative. It reviews access and delivery rather than certifying savings or equipment performance.

7 questions for your energy efficiency program survey

Use these 7 questions as a starting point. All fields are optional; choose one answer where choices are listed. Leave an irrelevant open field blank.

Respondent introduction:
Think about your experience with the named program during the stated period. Do not include utility account numbers. Contact program support directly for an active request.

How to customize your energy efficiency program survey

Name the program and review period. Explain which stage counts as started or completed. Retain options for participants still waiting, and provide the actual program support route outside the survey. Avoid collecting account numbers or detailed household energy records here. Before sharing widely, try the questions with a few people from the intended audience and clarify anything they interpret differently.

Printable energy efficiency program survey template

Use this printable energy efficiency program survey template at an enrollment or participant follow-up session. It includes the same questions and space to write, giving people who prefer paper or are less comfortable online another way to take part. SurveyLegend helps you offer both formats. Tell respondents where to return the completed form and who will review it. Paper answers need a separate review or manual entry process; they are not automatically added to online responses.

AI prompt for a energy efficiency program survey

Use these questions to find the participation step your program should improve.

The full prompt below specifies your energy efficiency program survey, including all 7 questions and response settings. Copy it, register for a free SurveyLegend account, and paste it into SurveyLegend’s AI survey creation tool. Review the result and add your organization’s details before sharing.

Create a energy efficiency program survey in SurveyLegend using the exact questionnaire below.

Purpose: Use these questions to find the participation step your program should improve.

Creator setup before sharing:
Name program, period, and stages. No energy savings calculation, eligibility decision, or technical advice.

Requirements:
- Include exactly 7 fields in the order shown. Preserve wording, field types, choice order, and optional settings verbatim.
- Show every field. Single choice means one selection. Preserve instructions for irrelevant fields; do not invent branching.
- Do not add questions, answers, scores, outcome predictions, certifications, or promises of anonymity.
- Do not invent organization details, dates, offer prices, a concept card, a job criterion, or other required context. Ask the creator for missing setup information before the survey is shared.
- This prompt creates a draft questionnaire. It does not process transactions, change accounts, issue tickets, publish testimonials, or make employment decisions.
- If an exact field or setting is unavailable, explain the limitation separately rather than silently changing it.

Respondent introduction:
Think about your experience with the named program during the stated period. Do not include utility account numbers. Contact program support directly for an active request.

Exact questionnaire:

1. What stage have you reached in this program?
Field type: Single choice
Answer choices, in order:
- Enrolled but not started
- Started
- Completed the planned steps
- Stopped before completion
- Not sure
Required: No
Display rule: Always

2. How easy was enrollment?
Field type: Single choice
Answer choices, in order:
- Very difficult
- Somewhat difficult
- Neither difficult nor easy
- Somewhat easy
- Very easy
- Someone else enrolled me
Required: No
Display rule: Always

3. How clear were the instructions for your next step?
Field type: Single choice
Answer choices, in order:
- Very unclear
- Somewhat unclear
- Neither clear nor unclear
- Somewhat clear
- Very clear
- No instructions received
Required: No
Display rule: Always

4. How easy was it to get help when needed?
Field type: Single choice
Answer choices, in order:
- Very difficult
- Somewhat difficult
- Neither difficult nor easy
- Somewhat easy
- Very easy
- Did not seek help
Required: No
Display rule: Always

5. What most limited your participation?
Field type: Single choice
Answer choices, in order:
- Scheduling
- Unclear next steps
- Cost
- Access to required equipment or services
- Another reason
- Nothing limited it
- Not sure
Required: No
Display rule: Always

6. What part of the program was most useful?
Field type: Long text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

7. What should the program team improve?
Field type: Long text
Answer choices: none; respondent enters their own text.
Required: No
Display rule: Always

Compare every field with this specification before finishing. Report differences separately. Ask the creator to review the draft and required context before sharing. Do not publish automatically.

Use prompt directly in SurveyLegend

Create a free account, then paste the copied prompt into SurveyLegend.

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How to use the answers

Group responses by participation stage before reading instruction and support ratings. A waiting participant may need scheduling information rather than new instructions. Review barriers with the program team and use separate verified data for any savings claim.

Can someone still waiting to start respond?

Yes. Participation stage helps distinguish waiting and enrollment problems from experience using the program.

Does this prove the program saved energy?

No. It collects participant reports about delivery. Energy savings require an appropriate separate evaluation.

Should we ask for utility account numbers?

This experience questionnaire does not require them. Keep any necessary account handling in the program’s established process.

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A little feedback. A clearer picture.