Bright Tomorrow Lighting Competition (L Prize®):Field Assessment and Post Prize Monitoring

OMB Control # 1910-XXXX

Exp. Date

Lighting Survey

[L Prize Partner] would like to know what you think about the lighting in this area. This questionnaire is entirely voluntary. Your responses will be aggregated with those of others and no individual responses or other identification will be reported.

Date of Survey: _________________________________

Respondent Category – Please select one of the following that best describes you:

• Lighting or design professional (including lighting designer, interior designer, architect, lighting showroom staff, etc.)

• Facility or institutional manager (or others who select/purchase large quantities of lighting products)

• General consumer (select/purchase lighting products primarily for personal home use)

Public reporting burden for this collection of information is estimated to average 13 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Office of the Chief Information Officer, Records Management Division, IM-23, Paperwork Reduction Project (1910-XXXX), U.S. Department of Energy, 1000 Independence Ave SW, Washington, DC, 20585-1290; and to the Office of Management and Budget (OMB), OIRA, Paperwork Reduction Project (1910-XXXX), Washington, DC  20503.

Is the lighting too dim? Too bright? Just right? Circle the appropriate number.
Too dim	Somewhat dim	Just right	Somewhat bright	Too bright
1	2	3	4	5
Is the color of the lighting too cool (blue) or too warm (yellow)? Circle the appropriate number.
Too cool (very blue)	Somewhat cool (blue)	Just right (neither too cool nor too warm)	Somewhat warm (yellow)	Too warm (very yellow)
1	2	3	4	5
Does the lighting have a positive, negative, or neutral impact on your ability to see clearly in this space?
Negative Impact		Neutral Impact	Positive Impact
1		2	3
Would you recommend this type of lighting to others? Circle the appropriate number.
Definitely would not recommend	Would not recommend	May or may not	Would recommend	Definitely would recommend
1	2	3	4	5
Do you notice any problems with the lights in this space? Please circle any that apply.
Flickering	Glare	Odd color	Uneven lighting	Other
1	2	3	4	5
Please describe any problems you notice:

Thank you for your time!