---
generated_by: surveylegend-page-markdown
title: Energy Efficiency Program Survey Template | SurveyLegend
description: Collect participant feedback on energy program enrollment,
  instructions, and support. Improve delivery without claiming measured savings.
canonical: https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/energy-efficiency-program-template/
---

# 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.

[Try this template ](https://app.surveylegend.com/register/)[Preview template](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/energy-efficiency-program-template/#try-template)

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![Energy Efficiency Program Survey: first question and response field, desktop preview](https://www.surveylegend.com/survey-template-media/previews/energy-efficiency-program-template-preview.avif)

![Energy Efficiency Program Survey: first question and response field, tablet preview](https://www.surveylegend.com/survey-template-media/previews/energy-efficiency-program-template-preview-tablet.avif)

![Energy Efficiency Program Survey: first question and response field, mobile preview](https://www.surveylegend.com/survey-template-media/previews/energy-efficiency-program-template-preview-mobile.avif)

Energy Efficiency Program Survey [Preview](https://www.surveylegend.com/survey-examples-templates/environment-sustainability-surveys/energy-efficiency-program-template/#try-template)

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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.

**Create your energy efficiency program survey in SurveyLegend**

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.

## 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.

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## A little feedback. A clearer picture.

Explore this 7-question example at your own pace. Every question is optional.

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SurveyLegend demo Question 1 of 7

### Energy Efficiency Program Survey

01 What stage have you reached in this program?

Choose one answer, or skip this question.

Enrolled but not started Started Completed the planned steps Stopped before completion Not sure

02 How easy was enrollment?

Choose one answer, or skip this question.

Very difficult Somewhat difficult Neither difficult nor easy Somewhat easy Very easy Someone else enrolled me

03 How clear were the instructions for your next step?

Choose one answer, or skip this question.

Very unclear Somewhat unclear Neither clear nor unclear Somewhat clear Very clear No instructions received

04 How easy was it to get help when needed?

Choose one answer, or skip this question.

Very difficult Somewhat difficult Neither difficult nor easy Somewhat easy Very easy Did not seek help

05 What most limited your participation?

Choose one answer, or skip this question.

Scheduling Unclear next steps Cost Access to required equipment or services Another reason Nothing limited it Not sure

06 What part of the program was most useful?

Share your answer, or skip this question.

07 What should the program team improve?

Share your answer, or skip this question.

#### One last look

Review your answers before submitting this demo.

0 answered

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## 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.

[![](https://www.surveylegend.com/user-guide-media/icons/download-pdf.svg) Download PDF](https://www.surveylegend.com/downloads/survey-templates/energy-efficiency-program-template.pdf)

Export energy efficiency program survey template as PDF

## 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.

AI prompt for a energy efficiency program survey

[Use prompt directly in SurveyLegend](https://www.surveylegend.com/register/)

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

Already have an account? [Sign in to create your energy efficiency program survey.](https://app.surveylegend.com/login/)

## 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.

## Frequently asked questions

### 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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## Create your energy efficiency program survey in SurveyLegend

Use these questions to find the participation step your program should improve. [Start free](https://app.surveylegend.com/register/) to create your energy efficiency program survey and adapt the questions to your audience.

[*Self-serve* Start free Create your first survey in minutes **Start free** ](https://app.surveylegend.com/register/)[*Guided help* Book a demo Talk with a SurveyLegend expert and choose the right plan. **Book a demo**](https://www.surveylegend.com/schedule-a-demo-of-surveylegend/)
