Field Research

Energy Research Form

Complete on the doorstep. When you submit, the full survey is saved and emailed to the address you choose below.

Send & researcher

Email the completed form to*

Researcher name

Homeowner details

Full name*

Property address

Postcode

Mobile number

Email address

Preferred method of contact

Are you the homeowner?

Property details

Property type

Number of bedrooms

Age of property

How many people live in the property?

Have you had upgraded loft insulation?

Have you had upgraded wall insulation?

Do you have an air source heat pump?

Age of your boiler?

Age of windows?

Roof details

Roof type

Roof covering

Roof condition

South, east or west facing roof space?

Significant shading from trees, buildings or chimneys?

Is the property listed or in a conservation area?

Loft conversion or plans for one?

Any roof windows or dormer windows?

Electricity & energy usage

Current electricity supplier

Approximate monthly electricity bill

Currently on a smart tariff?

Do you currently have a smart meter?

Electric vehicles

Do you currently own an electric vehicle?

Are you planning to purchase an electric vehicle?

Interest & next steps

Interested in reducing or eliminating your electricity bill?

Would you be interested in hearing about any energy offers and funding that may be available in the future?

Researcher notes

Consent & privacy

How we use these details

Energy Research UK collects the information on this form to assess the property's suitability for energy-saving measures and, where the householder has asked, to contact them about relevant options, offers and funding.

The data is stored securely in the UK/EU, is never sold, and is shared only with accredited installers or funding partners where needed to answer the householder's enquiry. It is kept for up to 24 months.

Under UK GDPR the householder can request access to, correction of, or deletion of their data, and can withdraw consent at any time by contacting Energy Research UK quoting their reference number.

The householder confirms they have read the privacy notice above and consents to Energy Research UK storing and using their details for this purpose.*

Energy Research UK — data captured with the householder's consent.