6700-035 Healthy Homes Assessment and Energy Audit Feedback

OMB Control Number: 2030-0051

Expiration Date: 05/31/2024

Healthy Homes Assessment and Energy Audit Feedback

(This section is for Healthy Homes Assessment and Energy Audit Recipients to complete.)

Thank you for your participation in the Healthy Homes and ECO Neighborhoods Program. We hope you will find the information and resources shared as part of the Healthy Homes Assessment and Energy Audits helpful for improving the comfort, health, and safety of your home. To continue improving our efforts and providing the best support we can to our participants, we would appreciate learning more about your experience with the program.

1. Please rate your overall satisfaction with the Healthy Homes and ECO Neighborhoods program.

Very Unsatisfied	Unsatisfied	Neutral	Satisfied	Very Satisfied
1	2	3	4	5

2. What did you like or find most helpful about the program?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

3. What would you suggest to help us improve the program?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Please share any questions, suggestions or concerns you have about the program.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Thank you!

EPA Form: 6700-035